Individual provider · Type 1 NPI
Jamie Gruber, PA-C
Medical Physician Assistant · Philadelphia, PA
NPI number
1861264905
Active
Practice location
3400 Spruce St
Philadelphia, PA 19104-4238
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | MA065159 (PA) |
Medical Physician Assistant: Definition to come...
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About NPI 1861264905
Jamie Gruber, PA-C's National Provider Identifier is 1861264905, issued on Oct 23, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 17, 2023.