Individual
GLENN P GRAVLEE
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
207L00000X
Anesthesiology Physician
35077335
OH
207L00000X
Anesthesiology Physician
Primary
44329
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48722324
—
CO
Enumeration date
04/22/2006
Last updated
11/14/2013
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