Individual
DR. BRUCE ALLEN GROOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
639 LOTUS DRIVE N, SUITE B, MANDEVILLE, LA 70470
(985) 626-6133
(985) 626-6136
Mailing address
3908 BATESVILLE PIKE, SHERWOOD, AR 72120
(501) 529-5045
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
R4295
AR
207Q00000X
Family Medicine Physician
Primary
R4295
AR
Other
Enumeration date
09/26/2006
Last updated
09/11/2025
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