Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 0064367 | CO |
N | 111NI0900X | Internist | 0064367 | CO |
NPI | 1003349853 |
---|---|
Provider Name | Dr. Alexandra Esther Grieb |
First Address | Austin, TX 78705-2703 |
Second Address | Greenwood Village, CO 80111-2719 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2017 |
Last Update Date | 14/01/2022 |