Individual
MR. PETER SHELBY GROCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
3721 S GRAND BLVD, SAINT LOUIS, MO 63118-3405
(314) 328-0144
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(314) 328-0144
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2014039715
MO
Other
Enumeration date
11/19/2014
Last updated
06/10/2020
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