Individual
STEVE E. GRUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
24671 MONROE AVE, # 102, MURRIETA, CA 92562-2527
(951) 461-8143
(951) 461-8547
Mailing address
24671 MONROE AVE, # 102, MURRIETA, CA 92562-2527
(951) 461-8143
(951) 461-8547
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17102
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760526263
NPI
CA
01
—
17704514945
NPI - GROUP
CA
01
—
PA17102
LICENSE NUMBER
CA
Enumeration date
02/16/2007
Last updated
02/05/2016
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