Individual
ROBERT GRUMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
WOMACK FAMILY MEDICINE RESIDENCY, BLDG 4-2817 RILEY RD, FORT BRAGG, NC 28310-0001
(910) 907-8007
Mailing address
WOMACK FAMILY MEDICINE RESIDENCY, BLDG 4-2817 RILEY RD, FORT BRAGG, NC 28310-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D60394743
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
STUDENT IN AN ORGANIZED HEALTH CARE EDUCATION/TRAINING
—
Enumeration date
07/21/2008
Last updated
06/01/2017
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