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Individual
RONALD G GRUBB
Active
Individual
RONALD G GRUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS009062L
PA
207Q00000X
Family Medicine Physician
Primary
OS11400
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016498400007
—
PA
05
—
003903900
—
FL
01
—
14F97
BCBS
FL
01
—
P001042
GATEWAY
PA
01
—
P00991337
RAIL ROAD MEDICARE
FL
Enumeration date
02/23/2006
Last updated
07/21/2022
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