Individual
CALVIN GRUBBS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FAAFP
Contact information
Practice address
9040A JACKSON AVE, TACOMA, WA 98431-9098
(253) 968-1110
Mailing address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-1765
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
28217
NE
207Q00000X
Family Medicine Physician
MD37496
SC
207Q00000X
Family Medicine Physician
Primary
MD61021807
WA
Other
Enumeration date
04/01/2013
Last updated
10/06/2021
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