Fred Grossman, MD

NPI #1043483589 in Denver, Colorado

Provider Information

NPI Number: 1043483589
Entity Type: Organization
Organization Name: Fred Grossman, MD
Primary Specialty: Specialist
Enumeration Date: Apr 4, 2008
Last Updated: Apr 10, 2008

Practice Location

Address: 4200 W CONEJOS PL
Address 2: SUITE 536
City: Denver
State: Colorado
ZIP Code: 80204-1333
Phone: (303) 571-1355

Authorized Official

Name: FRED GROSSMAN, MD
Title: OWNER
Phone: (303) 571-1355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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