Individual
MR. RODNEY THOMAS GRAVENOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
7202 BUCKINGHAM PL, LITTLETON, CO 80130-4169
(303) 902-0423
(720) 221-7796
Mailing address
7202 BUCKINGHAM PL, LITTLETON, CO 80130-4169
(303) 902-0423
(720) 221-7796
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA0001088
CO
246ZS0410X
Surgical Technologist
—
—
Other
Enumeration date
09/04/2006
Last updated
11/17/2014
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