Organization
GROVER GASTRO SURGICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAKESH GROVER MD (PRESIDENT)
(760) 242-0375
Entity
Organization
Contact information
Practice address
16018 TUSCOLA RD, APPLE VALLEY, CA 92307-1329
(760) 242-0375
Mailing address
16018 TUSCOLA RD, APPLE VALLEY, CA 92307-1329
(760) 242-0375
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
A53155
CA
208600000X
Surgery Physician
Primary
A52860
CA
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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