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Derek Wayne Grubbs, DO
Student in an Organized Health Care Education/Training Program in Poplar Bluff, Missouri
NPI 1184366494

Derek Wayne Grubbs is a Student in an Organized Health Care Education/Training Program based in Campbell, MO. Derek Wayne Grubbs practices in Poplar Bluff, MO and has the professional credentials of DO. The NPI Number for Derek Wayne Grubbs is 1184366494 and holds a License No. (Missouri).

The current practice location address for Derek Wayne Grubbs is 3100 Oak Grove Rd, Poplar Bluff, MO and can be reached out via phone at 573-776-9752.

Location: 3100 Oak Grove Rd, Poplar Bluff, MO, 63933-1428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184366494
Provider Name
Derek Wayne Grubbs
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3100 Oak Grove Rd, Poplar Bluff, MO, 63933-1428
Phone Number
573-776-9752
Fax Number
Provider Enumeration Date
04/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3100 Oak Grove Rd
City
Poplar Bluff
State
Missouri
Zip
63901-1573
Phone Number
573-776-9752
Fax Number
person
Provider Business Mailing Address Details
Address
3100 Oak Grove Rd
City
Poplar Bluff
State
Missouri
Zip
63901-1573
Phone Number
573-776-9752
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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