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Individual

MR. SHAD T GRUBBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1606 PRAIRIE CENTER PARKWAY, SUITE #310, BRIGHTON, CO 80601
(303) 659-5800
(303) 659-5156
Mailing address
1606 PRAIRIE CENTER PKWY STE 310, BRIGHTON, CO 80601-4004
(303) 659-5800
(303) 659-5156

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
38915
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89055055
CO
01
P00073483
RAILROAD MEDICARE
CO
Enumeration date
05/27/2006
Last updated
04/22/2026
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