Individual
DR. GREGORY A GROVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
107 DOCTORS DR, BRIDGEPORT, WV 26330-1720
(304) 842-6226
Mailing address
107 DOCTORS DR, BRIDGEPORT, WV 26330-1720
(304) 842-6226
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
722OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150773000
—
WV
Enumeration date
11/09/2006
Last updated
01/22/2010
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