Individual
ROXANNE L. GROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
2131 EAST STATE STREET, ATHENS, OH 45701-1334
(740) 589-3100
(740) 589-3123
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 589-3137
(740) 566-4049
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
00200
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000204488
OHIO MEDICAID UNISON
OH
05
—
0098630
—
OH
01
—
310917085195
OHIO MEDICAID CARESOURCE
OH
01
—
P00640943
RAILROAD MEDICARE
OH
Enumeration date
07/19/2006
Last updated
08/07/2014
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