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NPI Code Detail

MEDICARE: DAVID G. GRUBB M.D.

MEDICARE:   DAVID G. GRUBB  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
12084P0800XPsychiatry PhysicianMD00018006WA
22084P0800XPsychiatry PhysicianG25785CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10034876OTHERWAL&I WASHINGTON
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114127412
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID G. GRUBB M.D.
Provider Business Mailing Address
First Line : 1907 W SUMMIT PKWY APT 204
Second Line :
City : SPOKANE
State : WA
Zip : 99201-3133
Country : US
Telephone Number : 509-250-6890
Fax Number :
Provider Business Practice Location Address
First Line : 1907 W SUMMIT PKWY APT 204
Second Line :
City : SPOKANE
State : WA
Zip : 99201-3133
Country : US
Telephone Number : 415-474-7310
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2007
Last Update Date : 03/21/2023

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Directions to “ DAVID G. GRUBB M.D.” Practice Location

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