Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILLIP MICHAEL GROB, M. D.
ActivePHILLIP MICHAEL GROB, M. D. is a Geriatric Psychiatry healthcare provider located in SANTA ROSA, California. NPI 1588725253 is currently active in the NPPES registry. Verify at CMS.
Geriatric Psychiatry · SANTA ROSA, CA
Registration Details
- NPI Number
- 1588725253
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 13, 2006 (19.689633620277 yrs)
- Last Updated
- Jul 8, 2014
- License
-
G85079 (CA)
Practice Information
- Address
-
339 COLLEGE AVESANTA ROSA, CA, 954015117Browse CA providers · Browse ZIP 95401
- Phone
- 7075730223
- Fax
- 7075730222
- Primary Specialty
-
Geriatric Psychiatry
2084P0805X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.