Grantham, John G

Grantham, John G is an individual health care provider with primary practice located at 2750 Broadway St , Boulder CO 80304-3573. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Grantham, John G can be contacted via phone (303) 440-3000.

Contact Information

Primary practice address
2750 Broadway St Boulder CO 80304-3573
Phone: (303) 440-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 26497 Colorado

Profile Details

NPI number 1992789614
LBN Legal business name Grantham, John G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Oct 31st, 2012 - about 12 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.

Request for update

Popular Providers