Individual
DR. CHRISTOPHER M. GROVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1441 FLORIDA AVE, MODESTO, CA 95350-4404
(209) 579-5628
(209) 579-5637
Mailing address
220 STANDIFORD AVE, F, MODESTO, CA 95350-1159
(209) 579-5628
(209) 579-5637
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G76484
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G764840
BLUE SHIELD OF CA PIN
CA
05
—
00G764840
—
CA
05
—
00G764841
—
CA
Enumeration date
11/22/2005
Last updated
11/16/2017
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