Healthcare Provider Details

I. General information

NPI: 1578655510
Provider Name (Legal Business Name): STEVEN G GRABOWSKI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 11/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 S CHERRY ST SUITE 700
DENVER CO
80246-1325
US

IV. Provider business mailing address

501 S CHERRY ST STE 700
DENVER CO
80246-1325
US

V. Phone/Fax

Practice location:
  • Phone: 303-324-2828
  • Fax: 303-321-7171
Mailing address:
  • Phone: 303-398-6222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number21983
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: