# TRICITY INJURY CLINIC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396504023
- **Authorized official:** JOHN B GRONER MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (509) 591-4966

## Contact information

- **Practice address:** 4309 W 27TH PL STE 202, KENNEWICK, WA 99338-2908
- **Practice address phone:** (509) 591-4966
- **Mailing address:** 3911 W 27TH AVE, SUITE 101\#14, KENNEWICK, WA 99337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/15/2024
- **Last updated:** 03/15/2024