Individual
DR. PAUL G GROOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
300 N 7TH ST, BISMARCK, ND 58501-4439
(701) 323-6000
Mailing address
300 N 7TH ST, BISMARCK, ND 58501-4439
(701) 323-6000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10785
ND
207P00000X
Emergency Medicine Physician
40706
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14579
—
ND
Enumeration date
12/07/2005
Last updated
08/27/2014
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