Individual
DR. ISABELLE EVENCHICK GROVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2275 GARLAND ST, LAKEWOOD, CO 80215-1629
(720) 771-4637
(303) 234-9163
Mailing address
2275 GARLAND ST, LAKEWOOD, CO 80215-1629
(303) 234-9163
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20598
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01205988
—
CO
Enumeration date
09/26/2006
Last updated
05/28/2010
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