Michael L Grome, PA-C

NPI #1598739807 in Hamlin, West Virginia

Provider Information

NPI Number: 1598739807
Entity Type: Individual
Name: Michael L Grome, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 14, 2006
Last Updated: Jun 5, 2012

Practice Location

Address: 7400 LYNN AVE
City: Hamlin
State: West Virginia
ZIP Code: 25523-1138
Phone: (304) 824-5806

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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