Individual
NATHAN S GRIGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 595-7585
Mailing address
400 W 16TH ST, PUEBLO, CO 81003-2745
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0008359
CO
208M00000X
Hospitalist Physician
0008359
CO
390200000X
Student in an Organized Health Care Education/Training Program
0008359
CO
Other
Enumeration date
04/22/2020
Last updated
03/22/2023
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