Individual
ALLISON DE GROOT TA
Active
Individual
ALLISON DE GROOT TA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0116028576
VA
208000000X
Pediatrics Physician
DR.0066052
CO
2080P0206X
Pediatric Gastroenterology Physician
Primary
35.134315
OH
Other
Enumeration date
06/25/2015
Last updated
09/09/2022
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