Individual
MR. DAVID SCOTT GROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAT, ATC
Contact information
Practice address
422 W ALDER ST, MISSOULA, MT 59802-4122
(770) 715-2103
Mailing address
422 W ALDER ST, MISSOULA, MT 59802-4122
(770) 715-2103
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/04/2016
Last updated
06/04/2016
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