Individual
ELIZABETH ERIN GREVENGOED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 INDIANA ST STE 230, GOLDEN, CO 80401-5027
(303) 388-4461
(303) 270-2167
Mailing address
400 INDIANA ST STE 230, NATIONAL JEWISH WESTERN ONCOLOGY, GOLDEN, CO 80401-5027
(303) 232-0602
(303) 988-8750
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2798
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68222271
—
CO
Enumeration date
09/02/2009
Last updated
11/18/2020
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