NPI 1629196399 · live from the CMS NPI Registry
Jeffrey W Groves, MD
Psychiatry & Neurology, Neurology in Draper, UT. National Provider Identifier 1629196399, active.
NPI record
| NPI | 1629196399 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 96 E Kimballs Ln, Suite 307, Draper, UT 84020 |
| Practice phone | 801-260-3286 |
| Mailing address | 1055 N 500 W, Attn: Credentialing, Provo, UT 84604 |
| Enumerated | March 27, 2007 |
| Last updated | November 15, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 57551131205 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.