Individual
PHILIP SUMNER GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 S PRESTON STREET, RANSON, WV 25438
(304) 293-7401
(304) 293-6963
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(304) 293-5033
(304) 293-6963
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
21973
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810003249
—
WA
Enumeration date
05/01/2007
Last updated
04/30/2008
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