MR. Bernard Dean Grose II, PA-C

NPI #1790087187 in Saint Albans, West Virginia

Provider Information

NPI Number: 1790087187
Entity Type: Individual
Name: MR. Bernard Dean Grose II, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 17, 2010
Last Updated: Jul 24, 2023

Practice Location

Address: 12 KANAWHA TER
City: Saint Albans
State: West Virginia
ZIP Code: 25177-2750
Phone: (304) 201-1130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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