Individual
DR. GWENDOLYN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1010 THREE SPRINGS BLVD STE 275, DURANGO, CO 81301-8296
(970) 764-3740
(970) 764-3643
Mailing address
1010 THREE SPRINGS BLVD STE 275, DURANGO, CO 81301-8296
(970) 764-3740
(970) 764-3643
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
DR.0044790
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428822
—
AZ
05
—
85030872
—
CO
05
—
R4911
—
NM
Enumeration date
09/13/2006
Last updated
01/17/2018
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