Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | A117699 | CA |
NPI | 1003127242 |
---|---|
Provider Name | Dr. Casey Andrew Grover |
First Address | Monterey, CA 93940-5902 |
Second Address | Monterey, CA 93940-5902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2010 |
Last Update Date | 13/06/2013 |