Dr. Craig M. Grose
Family Doctor
716 S Highway 99
Fillmore
, Utah 84631-5134
Dr. Craig M. Grose
Family Doctor
716 S Highway 99
Fillmore
, Utah 84631-5134
(801) 418-0941
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Craig M. Grose
- 1055 North 500 West Attn: Credentialing
- Provo, UT
- Zip : 84604-3305
- Fax : (801) 418-0941
- Phone : (801) 354-8225
Second Address
- Dr. Craig M. Grose
- 716 S Highway 99
- Fillmore, UT
- Zip : 84631-5134
- Fax : (435) 864-2790
- Phone : (435) 864-3333
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 3243941205 | UT |
National Provider Identifier
| NPI | 1003854878 |
|---|---|
| Provider Name | Dr. Craig M. Grose |
| First Address | Provo, UT 84604-3305 |
| Second Address | Fillmore, UT 84631-5134 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/06/2006 |
| Last Update Date | 13/04/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G34787 | (02) | UT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.