Individual
GARY ARTHUR GROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9755 N 90TH ST STE B230, SCOTTSDALE, AZ 85258-4445
(480) 948-3361
(480) 948-2861
Mailing address
9755 N 90TH ST STE B230, SCOTTSDALE, AZ 85258-4445
(480) 948-3361
(480) 948-2861
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
19157
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063769
—
AZ
01
—
AZ00312
EDI SUBMITTER CODE
—
01
—
P00624790
RAILROAD MEDICARE
AZ
Enumeration date
08/31/2006
Last updated
09/10/2020
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