Individual
HEATHER L. GROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 E MARKET ST, IOWA CITY, IA 52245
(319) 339-0300
Mailing address
500 E MARKET ST, IOWA CITY, IA 52245-2633
(319) 339-0300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101258246
VA
207P00000X
Emergency Medicine Physician
DR.0056540
CO
207P00000X
Emergency Medicine Physician
Primary
MD-45014
IA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0101258246
VA
207RP1001X
Pulmonary Disease Physician
0101258246
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DR.0056540
COLORADO MEDICAL LICENSE
CO
Enumeration date
04/09/2012
Last updated
10/12/2018
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