Individual
STEPHEN ALLEN GRUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
0101225439
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101225439
VIRGINIA STATE LICENSE
VA
01
—
1871503391
AETNA
VA
05
—
1871503391
—
VA
01
—
371194700
BLACK LUNG
VA
01
—
38100001866
MEDICAID OF WEST VIRGINIA
VA
01
—
540506332048
TRICARE/CHAMPUS
VA
01
—
P00847884
RAILROAD MEDICARE
VA
Enumeration date
08/08/2006
Last updated
03/07/2023
Update your record
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