Individual
DR. WILLIAM GRADY SELF JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8403 BRYANT ST, WESTMINSTER, CO 80031-3809
(303) 426-4810
(303) 426-8708
Mailing address
8403 BRYANT ST, WESTMINSTER, CO 80031-3809
(303) 426-4810
(303) 426-8708
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
20828
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01208289
—
CO
01
—
0800375
EVERCARE
—
01
—
180032795
RAILROAD MEDICARE
—
01
—
222002
UNITED HEALTHCARE
—
01
—
4098038
AETNA PPO
—
01
—
814630
AETNA HMO
—
01
—
840787518002
ROCKY MTN HEALTH PLAN
—
01
—
840787518A002
TRICARE
—
01
—
920665
EYE SPECIALISTS
—
01
—
SE87324
BLUE CROSS/BLUE SHIELD
—
Enumeration date
06/28/2005
Last updated
04/23/2008
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