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NPI Code Detail

MEDICARE: ALAN GRUBER PSS, CRM

MEDICARE:   ALAN  GRUBER  PSS, CRM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246Y00000XHealth Information Specialist/Technologist

General Provider Information

NPI Number : 1083076616
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAN GRUBER PSS, CRM
Provider Business Mailing Address
First Line : 300 W MAIN ST
Second Line :
City : MEDFORD
State : OR
Zip : 97501-2756
Country : US
Telephone Number : 541-772-1777
Fax Number : 541-734-2410
Provider Business Practice Location Address
First Line : 3512 LONE PINE RD
Second Line :
City : MEDFORD
State : OR
Zip : 97504-5637
Country : US
Telephone Number : 541-779-2003
Fax Number : 541-734-2410
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2016
Last Update Date : 01/16/2019

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Directions to “ ALAN GRUBER PSS, CRM” Practice Location

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