Individual provider · Type 1 NPI
Myrissa Grove
Medical Physician Assistant · Colorado Springs, CO
NPI number
1063245447
Active
Practice location
2759 Scotchbroom Pt
Colorado Springs, CO 80910-4452
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA.0008496 (CO) |
Medical Physician Assistant: Definition to come...
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About NPI 1063245447
Myrissa Grove's National Provider Identifier is 1063245447, issued on Aug 21, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Colorado Springs, CO. The record was last updated on Aug 21, 2024.