Individual
DR. GEOFFREY P GROOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
860 KUHN DR STE 105, CHULA VISTA, CA 91914-4517
(619) 656-6311
(619) 656-6134
Mailing address
860 KUHN DR STE 105, CHULA VISTA, CA 91914-4517
(619) 656-6311
(619) 656-6134
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G51013
CA
Other
Enumeration date
02/02/2007
Last updated
12/28/2020
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