Individual
AMY C. GROVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3045 S NATIONAL AVE STE 110, SPRINGFIELD, MO 65804-4247
(417) 820-8991
Mailing address
3045 S NATIONAL AVE STE 110, SPRINGFIELD, MO 65804-4247
(417) 820-8991
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2015035605
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578934147
—
MO
Enumeration date
10/08/2015
Last updated
10/28/2021
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