Individual
JAMES W GROFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
14506 W GRANITE VALLEY DR, 124, SUN CITY WEST, AZ 85375-6010
(623) 584-2127
(623) 584-1257
Mailing address
13943 N 91ST AVE, #C-101, PEORIA, AZ 85381-3629
(623) 760-9449
(623) 974-9351
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2203
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000378796
EVERCARE
AZ
01
—
070003071
RAILROAD MEDICARE
AZ
01
—
0956762
AETNA
AZ
05
—
113738
—
AZ
01
—
1265480644
AHCCCS
AZ
01
—
188961600
DEPT OF LABOR WORK COMP
AZ
01
—
1Z2644
HEALTH NET
AZ
01
—
378796
UNITED HEALTHCARE
AZ
01
—
99S007000002
MEDISUN
AZ
01
—
AZ0223100
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
05/05/2006
Last updated
10/04/2013
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