| Grove Family Medicine-dpc | |
|
46499 Porto Bello Ct Drayden MD 20630-3217 | |
| (801) 920-5561 | |
| Not Available |
| Full Name | Grove Family Medicine-dpc |
|---|---|
| Speciality | Clinic/center |
| Location | 46499 Porto Bello Ct, Drayden, Maryland |
| Authorized Official Name and Position | Sheri Dean (OWNER/PROVIDER) |
| Authorized Official Contact | 8019205561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grove Family Medicine-dpc 46499 Porto Bello Ct Drayden MD 20630-3217 Ph: (801) 920-5561 | Grove Family Medicine-dpc 46499 Porto Bello Ct Drayden MD 20630-3217 Ph: (801) 920-5561 |
| NPI Number | 1174307656 |
|---|---|
| Provider Enumeration Date | 08/24/2023 |
| Last Update Date | 09/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174307656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |