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Individual

DR. R PAUL GROBEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
204 N 4TH AVE E, NEWTON, IA 50208
(641) 787-0025
(641) 787-0201
Mailing address
PO BOX 1452, 204 N 4TH AVE E ROOM 336, NEWTON, IA 50208
(641) 787-0025
(641) 787-0201

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01606
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0068601
IA
01
1255
AMERICAN REBUBLIC
01
1373348
1ST HEALTH
01
2369
AMERICAN REBUBLIC
01
2438
UNION PACIFIC RAILROAD
01
2716
SELECT BENEFIT & ADM
01
4116
JELD-WEN
01
5039
AETNA
01
614410
TRIGON
Enumeration date
11/28/2006
Last updated
05/28/2008
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