Individual
JAMES DEGROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
WEED ARMY COMMUNITY HOSPITAL 390 NORTH LOOP RD., FORT IRWIN, CA 92310
(760) 383-5053
Mailing address
4683 OMAHA BEACH ST, FORT IRWIN, CA 92310-1914
(480) 200-0284
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN172301
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60981185
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/19/2017
Last updated
08/29/2019
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