| Roger L Groves, Md Pc | |
|
250 W Lancaster Ave Suite 215 Paoli PA 19301-1751 | |
| (610) 647-1204 | |
| (610) 647-1240 |
| Full Name | Roger L Groves, Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 250 W Lancaster Ave, Paoli, Pennsylvania |
| Authorized Official Name and Position | Roger L Groves (PRESIDENT) |
| Authorized Official Contact | 6106471204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roger L Groves, Md Pc 250 W Lancaster Ave Suite 215 Paoli PA 19301-1751 Ph: (610) 647-1204 | Roger L Groves, Md Pc 250 W Lancaster Ave Suite 215 Paoli PA 19301-1751 Ph: (610) 647-1204 |
| NPI Number | 1821055930 |
|---|---|
| Provider Enumeration Date | 05/01/2006 |
| Last Update Date | 07/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821055930 | NPI | - | NPPES |
| 0026452000 | Other | PA | AMERIHEALTH |
| 2454668001 | Other | PA | KEYSTONE |
| 4092568 | Other | PA | AETNA |
| 0010037310005 | Medicaid | PA | |
| 30019442 | Other | PA | KEYSTONE MERCY |
| 122794 | Other | PA | INDEP BLUE CROSS |
| 255202 | Other | PA | HEALTH AMERICA |
| 0100373102 | Other | PA | AMERICHOICE |
| 0000104868802 | Other | PA | UNITED HEALTHCARE |
| 0875497 | Other | PA | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD033248L (Pennsylvania) | Primary |
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