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Individual

DR. WILLIAM JOSEPH GRANDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Mailing address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-36283
KS
2085R0202X
Diagnostic Radiology Physician
17527
HI
2085R0202X
Diagnostic Radiology Physician
2005019104
MO
2085R0202X
Diagnostic Radiology Physician
26121
NE
2085R0202X
Diagnostic Radiology Physician
49706
CO
2085R0204X
Vascular & Interventional Radiology Physician
Primary
49706
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10026133600
NE
05
1679785653
WY
05
200870160A
KS
05
47525070
CO
05
767467
AZ
Enumeration date
05/04/2007
Last updated
11/17/2023
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