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Individual

DAVID R GROH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
607 4TH ST, ELDORADO RURAL HEALTH CLINIC, ELDORADO, IL 62930
(618) 273-2951
(618) 273-2712
Mailing address
PO BOX 155, CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORP, CHRISTOPHER, IL 62822-0155
(618) 724-2401
(618) 724-2571

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
373619
HEALTHLINK
Enumeration date
12/27/2005
Last updated
07/08/2007
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