Grover, Bruce

Grover, Bruce is an individual health care provider with primary practice located at 589 South State Street , Provo UT 84606-5056. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Grover, Bruce can be contacted via phone (801) 429-2000.

Contact Information

Primary practice address
589 South State Street Provo UT 84606-5056
Phone: (801) 429-2000
Fax: (801) 429-2001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 2634241205 Utah
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2634241205 Utah

Profile Details

NPI number 1659391704
LBN Legal business name Grover, Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated May 20th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659391704 NPPES
Utah MEDICAID 870515716004
Utah Other 870515716GR1
Utah Other 5935032
Utah MEDICAID 870515716018
Utah Other 107007185101
Utah Other 37767
Utah Other 870515716
Utah Other 0101858
Utah Other D0282
Utah Other 870515716

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