Individual
GROVER C. DILS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
466 BURNLEY RD, SCOTTSVILLE, KY 42164-6355
(270) 618-3700
(270) 618-3772
Mailing address
PO BOX 3560, BOWLING GREEN, KY 42102-3560
(270) 618-3700
(270) 618-3772
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
30818
KY
207R00000X
Internal Medicine Physician
Primary
30818
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64308182
—
KY
Enumeration date
04/25/2006
Last updated
06/08/2016
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