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1902331564
BETHANY GROGG
DES MOINES, IA
NPI
1902331564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IA 086376)
Enumeration Date
2017-04-20
Last Update Date
2023-12-21
Business Address
BETHANY GROGG PA-C
1215 PLEASANT ST STE 618
DES MOINES, IA 50309
Phone number: 515-875-9090
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Mailing Address
BETHANY GROGG PA-C
PO BOX 424
DES MOINES, IA 50302-0424
Phone number: 515-875-9925
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