Individual
ALLEN GEORGE GRUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4720 HOEN AVE, SANTA ROSA, CA 95405-7867
(707) 595-3122
(707) 843-3102
Mailing address
4720 HOEN AVE, SANTA ROSA, CA 95405-7867
(707) 595-3122
(707) 843-3102
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G55246
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G552461
—
CA
01
—
G55246
CA MEDICAL LICENSE
CA
Enumeration date
11/16/2006
Last updated
03/07/2023
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