MR. Mark Douglas Grove, PA-C
NPI #1679306153 in Loma Linda, California
Provider Information
- NPI Number
- 1679306153
- Entity Type
- Individual
- Name
- MR. Mark Douglas Grove, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PA-C
- Enumeration Date
- Aug 21, 2024
- Last Updated
- May 14, 2025
Practice Location
- Address
- 24785 STEWART ST RM 201
- City
- Loma Linda
- State
- California
- ZIP Code
- 92350-1721
- Phone
- (909) 558-8161
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Surgical — Surgical |
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