Individual
MCGARRETT GROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
800 RAVENHILL DR, ATCHISON, KS 66002-9204
(913) 367-6675
(913) 674-2023
Mailing address
800 RAVENHILL DR, ATCHISON, KS 66002-9204
(913) 367-6675
(913) 674-2023
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-35645
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004030016
PTAN
KS
05
—
3000433309000
—
KS
05
—
30004333090001
—
KS
Enumeration date
06/23/2009
Last updated
03/11/2026
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