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Contact Information

PHILLIP M GROB, MD
339 COLLEGE AVE
SANTA ROSA, CA95401-5117
 Phone: 707-573-0223
 Fax: 707-573-0222
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for PHILLIP M GROB · (Male)

NPI Number 1588725253
Status Active
Credentials MD
Entity Individual
Enumeration date 12/13/2006
Last updated 07/08/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G85079
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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