IndividualActive
Andrew Grose, DO
NPI 1245895663 · Family Medicine Physician · Providence, UT
Provider details
- NPI number
- 1245895663
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 12897926-1204 (UT)
Practice location
382 W 280 N
Providence, UT 84332-9118
Phone: (435) 752-0330
Fax: (435) 755-0922
Mailing address
Po Box 5546
Denver, CO 80217-5546
Registry dates
- Enumerated
- 2019-05-01
- Last updated
- 2024-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.