Individual
MARC GROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
2213 NORTH 5TH ST, SUITE B, ELKO, NV 89801-2458
(775) 777-0901
(775) 777-0923
Mailing address
PO BOX 171, SUITE B, PARMA, ID 83660-0171
(208) 722-7350
(208) 722-7351
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1463
NV
Other
Enumeration date
12/19/2007
Last updated
08/11/2016
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