Individual provider · Type 1 NPI
Caleb W. Grove, P.A.
Medical Physician Assistant · El Dorado, KS
NPI number
1700973583
Active
Practice location
700 W Central Ave Ste 105
El Dorado, KS 67042-2187
Fax (316) 322-9806
Mailing address
720 W Central Ave
El Dorado, KS 67042-2112
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 15-01144 (KS) |
| Medical Physician Assistant Primary | 363AM0700X | T00782 (KS) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
Other medical physician assistant providers in El Dorado
About NPI 1700973583
Caleb W. Grove, P.A.'s National Provider Identifier is 1700973583, issued on Oct 5, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in El Dorado, KS. The record was last updated on Sep 5, 2024.