Basic Information
Provider Information
NPI: 1982068086
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GRUHL
FirstName: JOSHUA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7951 E MAPLEWOOD AVE STE 350
Address2:  
City: GREENWOOD VILLAGE
State: CO
PostalCode: 801114758
CountryCode: US
TelephoneNumber: 3039307800
FaxNumber:  
Practice Location
Address1: 8820 HURON ST
Address2:  
City: THORNTON
State: CO
PostalCode: 802606805
CountryCode: US
TelephoneNumber: 3033867622
FaxNumber: 3034276800
Other Information
ProviderEnumerationDate: 04/05/2016
LastUpdateDate: 08/03/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/03/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0001XMD61145457WAY Allopathic & Osteopathic PhysiciansRadiologyRadiation Oncology

No ID Information.


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