Provider Demographics
NPI:1710330774
Name:GRATE, DEIRDRE N (MD)
Entity Type:Individual
Prefix:
First Name:DEIRDRE
Middle Name:N
Last Name:GRATE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9331 S. COLORADO BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126
Mailing Address - Country:US
Mailing Address - Phone:303-471-4711
Mailing Address - Fax:303-471-4767
Practice Address - Street 1:9331 S. COLORADO BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80126
Practice Address - Country:US
Practice Address - Phone:303-471-4711
Practice Address - Fax:303-471-4767
Is Sole Proprietor?:No
Enumeration Date:2016-07-14
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL39797207Q00000X
CODR.0062795207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine