Individual provider · Type 1 NPI

Ryan Grove

Medical Physician Assistant · Fresno, CA

NPI number 1821521659 Active

Practice location

2823 Fresno St
Fresno, CA 93721-1324

Call (559) 499-6440 Map

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X56160 (CA)
Surgical Physician Assistant 363AS0400X56160 (CA)
Medical Physician Assistant Primary 363AM0700X56160 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1821521659

Ryan Grove's National Provider Identifier is 1821521659, issued on Apr 8, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fresno, CA. The record was last updated on Jan 16, 2020.