Individual
STEPHEN ALLEN GRUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 LAMB CIR, SUITE 380, CHRISTIANSBURG, VA 24073-6344
(540) 633-0523
(540) 633-0526
Mailing address
2900 LAMB CIR, SUITE 380, CHRISTIANSBURG, VA 24073-6344
(540) 633-0523
(540) 633-0526
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
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