Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 0101264520 | VA |
NPI | 1033538749 |
---|---|
Provider Name | Joseph Robert Grubbs JR. |
First Address | Richmond, VA 23226-3330 |
Second Address | Richmond, VA 23226-3330 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2014 |
Last Update Date | 06/07/2018 |