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Individual

REUBEN JAMES GROTHAUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3950 KEENE RD, KADLEC CLINIC WEST RICHLAND PRIMARY CARE, RICHLAND, WA 99353
(509) 942-3130
(509) 628-8335
Mailing address
560 GAGE BLVD STE 203, RICHLAND, WA 99352
(509) 942-3627
(509) 942-2268

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
71686
GA
207Q00000X
Family Medicine Physician
Primary
OP60536083
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/18/2012
Last updated
05/25/2021
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