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Individual

DR. MICHAEL O. GROWNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, FACOG

Contact information

Practice address
1600 N GRAND AVE, SUITE 400, PUEBLO, CO 81003-2700
(719) 543-4000
(719) 543-1041
Mailing address
1600 N GRAND AVE, SUITE 400, PUEBLO, CO 81003-2700
(719) 543-4000
(719) 543-1041

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2004001636
MO
207V00000X
Obstetrics & Gynecology Physician
Primary
DR 47003
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
207759804
MO
05
40751082
CO
Enumeration date
01/29/2007
Last updated
07/13/2009
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