Individual
PAUL B GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0042041
CO
207P00000X
Emergency Medicine Physician
42041
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000525198
BCBS ERIE
OH
05
—
122079900
—
WY
05
—
1477526929
—
MI
05
—
2781619
—
OH
Enumeration date
02/07/2006
Last updated
05/10/2018
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