Individual provider · Type 1 NPI

Victoria Anne Grube

Immunology Pathology Specialist/Technologist · Fort Leonard Wood, MO

NPI number 1003116864 Active

Practice location

126 Missouri Ave
Fort Leonard Wood, MO 65473-8952

Mailing address

23350 Ross Rd
Waynesville, MO 65583-2756

Specialties and licenses

TaxonomyCodeLicense
Immunology Pathology Specialist/Technologist Primary 246QI0000XNone listed

Immunology Pathology Specialist/Technologist: Definition to come...

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About NPI 1003116864

Victoria Anne Grube's National Provider Identifier is 1003116864, issued on Oct 27, 2010. The primary taxonomy on file is Immunology Pathology Specialist/Technologist (246QI0000X), and the practice location is in Fort Leonard Wood, MO. The record was last updated on Oct 27, 2010.