Individual
ROBERT GRUVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
95 S PAGOSA BLVD, PAGOSA SPRINGS, CO 81147-8329
(970) 731-3700
(970) 731-3707
Mailing address
95 S PAGOSA BLVD, PAGOSA SPRINGS, CO 81147-8329
(970) 731-3700
(970) 731-3707
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
2936
CO
146D00000X
Personal Emergency Response Attendant
PA342
ID
363A00000X
Physician Assistant
Primary
PA60604308
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16434234
—
CO
Enumeration date
04/25/2007
Last updated
01/23/2017
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