Grant, Gwendolyn

Grant, Gwendolyn is an individual health care provider with primary practice located at 1010 Three Springs Blvd Ste 275 , Durango CO 81301-8296. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Grant, Gwendolyn can be contacted via phone (970) 764-3740.

Contact Information

Primary practice address
1010 Three Springs Blvd Ste 275 Durango CO 81301-8296
Phone: (970) 764-3740
Fax: (970) 764-3643
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X DR.0044790 Colorado

Profile Details

NPI number 1841395357
LBN Legal business name Grant, Gwendolyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Jan 17th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841395357 NPPES
Colorado MEDICAID 85030872
Colorado MEDICAID R4911
Colorado MEDICAID 428822

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