Whalio Doctors

NPI 1003854878

Craig M. Grose, MD

Practitioner Family Medicine Physician Fillmore, UT

Practice location

Address
716 S Highway 99, Fillmore, UT 84631-5134
Phone
(435) 864-3333
Fax
(435) 864-2790
Mailing address
1055 North 500 West Attn: Credentialing, Provo, UT 84604-3305

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 3243941205 (UT)

Registry record

NPI
1003854878
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 Jun 2006
Record last updated
13 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.