Individual
DR. DEBRA A. GROOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
123 INTERNATIONAL WAY, SPRINGFIELD, OR 97477-1047
(541) 341-8033
(541) 341-8099
Mailing address
PO BOX 72059, SPRINGFIELD, OR 97475-0285
(541) 341-8033
(541) 341-8099
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD25384
OR
Other
Enumeration date
06/09/2006
Last updated
10/11/2012
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