| Fred Grover Jr. M.d | |
|
5 Cook St Denver CO 80206-5803 | |
| (303) 320-1530 | |
| Not Available |
| Full Name | Fred Grover Jr. M.d |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5 Cook St, Denver, Colorado |
| Authorized Official Name and Position | Fred Lee Grover (PRESIDENT) |
| Authorized Official Contact | 3033201530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fred Grover Jr. M.d 5 Cook St Denver CO 80206-5803 Ph: (303) 320-1530 | Fred Grover Jr. M.d 5 Cook St Denver CO 80206-5803 Ph: (303) 320-1530 |
| NPI Number | 1215979687 |
|---|---|
| Provider Enumeration Date | 06/12/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215979687 | NPI | - | NPPES |
| 01337203 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 33720 (Colorado) | Primary |
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