| Dr Grady Michael Holder, MD | |
|
11005 Ralston Rd, Suite 100g, Arvada, CO 80004-4551 | |
| (303) 431-0844 | |
| (303) 456-6124 |
| Full Name | Dr Grady Michael Holder |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 11005 Ralston Rd, Arvada, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366543902 | NPI | - | NPPES |
| 01282193 | Medicaid | CO | |
| 10354697 | Other | CO | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DR.0028219 (Colorado) | Primary |
| Entity Name | Metro Community Provider Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558727883 PECOS PAC ID: 0648181214 Enrollment ID: O20051025000562 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Grady Michael Holder, MD 3701 S Broadway, Englewood, CO 80113-3611 Ph: (303) 360-6276 | Dr Grady Michael Holder, MD 11005 Ralston Rd, Suite 100g, Arvada, CO 80004-4551 Ph: (303) 431-0844 |
Dr. Tod Sweeney, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 6390 Gardenia St, Suite 140, Arvada, CO 80004 Phone: 720-898-1110 Fax: 720-898-1113 | |
Dr. David Glasscock, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7950 Kipling St, Ste 101, Arvada, CO 80005 Phone: 303-425-4680 Fax: 303-425-1616 | |
Dr. Patricia Mladenov, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7380 W 52nd Ave, Unit I, Arvada, CO 80002 Phone: 303-463-5941 Fax: 303-463-5941 | |
Dr. Zachary Shpall, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 7950 Kipling St Ste 101, Arvada, CO 80005 Phone: 303-425-4680 | |
Dr. Steve D. Stahl, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 7950 Kipling St Ste 101, Arvada, CO 80005 Phone: 303-425-4680 Fax: 303-425-1616 | |
Troy Curtis, MD, MPH Family Medicine Medicare: Medicare Enrolled Practice Location: 8850 Ralston Rd Ste 102, Arvada, CO 80002 Phone: 720-961-5114 | |
Dr. Brian Kenneth Erly, M.D., M.P.H. Family Medicine Medicare: Medicare Enrolled Practice Location: 8850 Ralston Rd Ste 102, Arvada, CO 80002 Phone: 720-961-5114 |