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Individual

DR. DHIMITRI ELICIA GROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
23000 MOAKLEY ST, LEONARDTOWN, MD 20650-2915
(240) 744-1100
(855) 592-2119
Mailing address
1400 WEWATTA ST STE 350, DENVER, CO 80202-5553

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101222399
VA
207Q00000X
Family Medicine Physician
13585-320
WI
207Q00000X
Family Medicine Physician
C4011
KY
207Q00000X
Family Medicine Physician
Primary
D0055146
MD
207Q00000X
Family Medicine Physician
MD490238C
PA

Other

Enumeration date
06/06/2006
Last updated
12/19/2025
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