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Contact Information

PAUL G GROOMS, DO
300 N 7TH ST
BISMARCK, ND58501-4439
 Phone: 701-323-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for PAUL G GROOMS · (Male)

NPI Number 1104801760
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 12/07/2005
Last updated 08/27/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 40706
  • ND License # 10785
  • ND Medicaid 14579
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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