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Organization

ANTELOPE VALLEY FAMILY HEALTH MEDICAL GROUP, INC

Active
Other names
Gary Wm. Grubb
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GARY WILLIAM GRUBB M.D. (CORPORATION PRESIDENT)
(661) 945-0821
Entity
Organization

Contact information

Practice address
1672 W AVENUE J, SUITE 105, LANCASTER, CA 93534-2827
(661) 945-0821
(661) 948-6255
Mailing address
1672 W AVENUE J, SUITE 105, LANCASTER, CA 93534-2827
(661) 945-0821
(661) 948-6255

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G43124
CA

Other

Enumeration date
03/14/2006
Last updated
04/15/2013
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