Individual
JEROD B GROGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4000 MIAMISBURG CENTERVILLE RD STE 420, MIAMISBURG, OH 45342-7615
(937) 439-4145
(937) 439-4371
Mailing address
7740 WASHINGTON VILLAGE DR STE 110, DAYTON, OH 45459-3994
(937) 439-4145
(937) 439-4371
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50001994
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0085267
—
OH
Enumeration date
03/15/2007
Last updated
08/18/2025
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