Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0214X | Pediatric Pulmonologist | 13369 | HI |
Y | 2080P0214X | Pediatric Pulmonologist | 59276 | CO |
NPI | 1235259169 |
---|---|
Provider Name | Jane E Gross |
First Address | Denver, CO 80206-2761 |
Second Address | Denver, CO 80206-2761 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2007 |
Last Update Date | 12/11/2020 |