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Contact Information

RODNEY T GRAVENOR, CSA
7202 BUCKINGHAM PL
LITTLETON, CO80130-4169
 Phone: 303-902-0423
 Fax: 720-221-7796
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Assistant

246ZC0007X
Indicates primary specialty

NPI Profile & details for RODNEY T GRAVENOR · (Male)

NPI Number 1386746881
Status Active
Credentials CSA
Entity Individual
Enumeration date 09/04/2006
Last updated 11/17/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # SA0001088
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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