Individual
TYLER GRUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-0001
(570) 271-6211
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-0001
(570) 271-6211
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OT024206
PA
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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