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DR. GEORGE WILLIAM GROTH M.D.
>> Internal Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1487759825
Individual Registrant:DR. GEORGE WILLIAM GROTH M.D.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
6037 LA GRANADA SUITE C RANCHO SANTA FE, CA 92067 US
Tel: 858-756-2116 Fax: 858-756-4142
Tel: 858-756-2116 Fax: 858-756-4142
Contact information for business:
PO BOX 950 6037 LA GRANADA, STE C RANCHO SANTA FE, CA 92067 US
Tel: 858-756-2116 Fax: 858-756-4142
Tel: 858-756-2116 Fax: 858-756-4142
Registration Information:
NPI: 1487759825
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207R00000X | Allopathic & Osteopathic Physicians Internal Medicine | CA | G38045 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
