Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Rodney Thomas Gravenor, CSA

Individual provider Surgical Assistant · NPI 1386746881

Mr. Rodney Thomas Gravenor, CSA is a Surgical Assistant in Littleton, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

7202 Buckingham Pl
Littleton, CO 80130-4169
Phone: (303) 902-0423
Fax: (720) 221-7796
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence SA0001088 (CO)
Surgical Technologist Taxonomy 246ZS0410X

Record details

NPI number1386746881
Entity typeIndividual (Type 1)
GenderMale
Credentials CSA
Sole proprietorYes
NPI enumeratedSeptember 4, 2006
Last updated in NPPESNovember 17, 2014

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