Individual
DR. DAVID MARK GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2327 70TH STREET, URBANDALE, IA 50322
(515) 270-1344
(515) 270-6515
Mailing address
2327 70TH STREET, URBANDALE, IA 50322
(515) 270-1344
(515) 270-6515
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00728
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49984
BLUE CROSS BLUE SHIELD
IA
Enumeration date
08/21/2006
Last updated
07/08/2007
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