Individual
ASHLEY B GRUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
450B WASHINGTON JACKSON RD STE 108, EATON, OH 45320-7601
(937) 456-8330
(937) 456-8335
Mailing address
450B WASHINGTON JACKSON RD STE 108, EATON, OH 45320-7601
(937) 456-8330
(937) 456-8335
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50002805
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075457
—
OH
Enumeration date
09/12/2008
Last updated
01/19/2021
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