Individual
DR. MARSHALL RAY DE GROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2428 S VAL VISTA DR, GILBERT, AZ 85295-1671
(480) 917-7467
Mailing address
2601 E AMBER RIDGE WAY, PHOENIX, AZ 85048-9221
(480) 225-5555
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S021966
AZ
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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