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NPI Code Detail

MEDICARE: DR. ERIC R GROCE D.O.

MEDICARE: DR. ERIC R GROCE D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianL2289TX
2207Q00000XFamily Medicine Physician43909CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18P5504OTHERTXBCBS PROVIDER NUMBER
2026920OTHERCOKAISER COMMERCIAL NUMBER
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295723674
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC R GROCE D.O.
Provider Business Mailing Address
First Line : 10350 E DAKOTA AVE
Second Line :
City : DENVER
State : CO
Zip : 80247-1314
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14701 E EXPOSITION AVE
Second Line :
City : AURORA
State : CO
Zip : 80012-2623
Country : US
Telephone Number : 303-338-4545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2005
Last Update Date : 05/13/2021

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Directions to “ DR. ERIC R GROCE D.O.” Practice Location

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