Individual
WILLIAM CHARLES GRONBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2910 N 3RD AVE # 330, PHOENIX, AZ 85013-4434
(602) 406-8811
(602) 406-8810
Mailing address
240 W THOMAS RD STE 301, PHOENIX, AZ 85013-4407
(602) 406-7765
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4914
AZ
363AS0400X
Surgical Physician Assistant
Primary
4914
AZ
Other
Enumeration date
11/20/2008
Last updated
02/12/2025
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