Individual
DR. STEPHEN R GRUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 MACCORKLE AVE SE STE 205, CHARLESTON, WV 25304-1228
(304) 720-7305
(304) 720-7310
Mailing address
3100 MACCORKLE AVE SE STE 205, CHARLESTON, WV 25304-1228
(304) 720-7305
(304) 720-7310
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
11158
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087581000
—
WV
Enumeration date
08/09/2006
Last updated
07/21/2022
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