Individual
DR. DEBORAH J GROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
361 HOSPITAL ROAD, #533, NEWPORT BEACH, CA 92663-3522
(949) 650-7200
(949) 650-2873
Mailing address
361 HOSPITAL ROAD, #533, NEWPORT BEACH, CA 92663-3522
(949) 650-7200
(949) 650-2873
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G71740
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W10780A
PTAN
CA
Enumeration date
06/25/2006
Last updated
09/19/2008
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