BLAIR GRANT

CENTENNIAL, CO
NPI1720142151
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: CO  122525)
Enumeration Date2006-12-20
Last Update Date2007-07-08
Business Address
-- BLAIR GRANT
6465 GREENWOOD PLAZA BLVD SUITE 300
CENTENNIAL, CO 80111-4905
Phone number: 303-267-3596
Mailing Address
-- BLAIR GRANT
5335 FLYING S LN
COLORADO SPRINGS, CO 80915-2400
Phone number: