| NPI | 1346219268 |
|---|---|
| Former Legal Business Name | GARY WM. GRUBB |
| Entity Type | Organization |
| Authorized Contact | GARY WILLIAM GRUBB Corporation President 661-945-0821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G43124) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2013-04-15 |