Individual
BRENDA GRABB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-5120
(719) 365-6860
Mailing address
1011 N WEBER ST, COLORADO SPRINGS, CO 80903-2466
(719) 578-1162
(719) 578-1462
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
42834
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05505011
—
CO
Enumeration date
12/07/2005
Last updated
08/08/2012
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