Individual
MITZI M GROVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
15101 GLENWOOD AVE, STANLEY, KS 66223-3154
(913) 681-8866
(913) 338-1311
Mailing address
PO BOX 741331, ATLANTA, GA 30374-1331
(913) 469-0503
(913) 469-5267
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-31268
KS
Other
Enumeration date
09/07/2005
Last updated
01/26/2022
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