Organization
ANDREW D GRUBBS
Active
Organization
ANDREW D GRUBBS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW GRUBBS MD (OWNER)
(513) 569-6780
Entity
Organization
Contact information
Practice address
4015 EXECUTIVE PARK DR, STE 406, CINCINNATI, OH 45241-4017
(513) 569-6747
Mailing address
PO BOX 632778, CINCINNATI, OH 45263-2778
(513) 891-7574
(513) 793-1032
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE3554
RAILROAD MEDICARE
OH
Enumeration date
06/18/2006
Last updated
03/24/2008
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