Individual
JEFFREY DOUGLAS GROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(207) 530-6514
Mailing address
1585 3RD ST, FORT POLK, LA 71459-5102
(207) 530-6514
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101038571
VA
Other
Enumeration date
01/11/2006
Last updated
08/02/2022
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