person
Jeremy R Grover, PA-C
Medical Physician Assistant in Greeley, Colorado
NPI 1285734038

Jeremy R Grover is a Medical Physician Assistant based in Greeley, CO and is specialized in Medical. Jeremy R Grover practices in Greeley, CO and has the professional credentials of PA-C. The NPI Number for Jeremy R Grover is 1285734038 and holds a License No. 1625 (Colorado).

The current practice location address for Jeremy R Grover is 2918 W 10Th St, Greeley, CO and can be reached out via phone at 970-584-2100 and via fax at 970-584-2101.

Location: 2918 W 10Th St, Greeley, CO, 80634-5457
person
Provider Profile Details
NPI Number
1285734038
Provider Name
Jeremy R Grover
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2918 W 10Th St, Greeley, CO, 80634-5457
Phone Number
970-584-2100
Fax Number
970-584-2101
Provider Enumeration Date
09/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1625 01 CO STATE LISENCE NUMBER
C462078 01 CO MEDICARE GROUP
institution
Provider Business Practice Location Address Details
Address
2918 W 10Th St
City
State
Zip
80634-5457
Phone Number
970-584-2100
Fax Number
970-584-2101
person
Provider Business Mailing Address Details
Address
2918 W 10Th St
City
State
Zip
80634-5457
Phone Number
970-584-2100
Fax Number
970-584-2101
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1625 (Colorado)
Definition
Definition to come...
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