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NPI Code Detail

MEDICARE: PETRU GROZA M.D.

MEDICARE:   PETRU  GROZA  M.D.
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
1207R00000XInternal Medicine PhysicianMD00047051WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730187360
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETRU GROZA M.D.
Provider Business Mailing Address
First Line : 322 W NORTH RIVER DR
Second Line :
City : SPOKANE
State : WA
Zip : 99201-3208
Country : US
Telephone Number : 509-324-6464
Fax Number : 509-241-2056
Provider Business Practice Location Address
First Line : 322 W NORTH RIVER DR
Second Line :
City : SPOKANE
State : WA
Zip : 99201-3208
Country : US
Telephone Number : 509-324-6464
Fax Number : 509-241-2056
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 04/07/2021

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Directions to “ PETRU GROZA M.D.” Practice Location

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