Individual
DR. JEROME JULIAN GROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20950 N TATUM BLVD STE 100, PHOENIX, AZ 85050-4204
(480) 222-7246
(480) 222-7271
Mailing address
20950 N TATUM BLVD STE 100, PHOENIX, AZ 85050-4204
(480) 222-7246
(480) 222-7271
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
L15479R
LA
208VP0014X
Interventional Pain Medicine Physician
Primary
37166
AZ
Other
Enumeration date
05/20/2006
Last updated
02/19/2020
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