Basic Information
| Provider Information | |||||||||
| NPI: | 1770859209 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GROOVER | ||||||||
| FirstName: | TROY | ||||||||
| MiddleName: | ALAN | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 142 S MAIN ST | ||||||||
| Address2: | |||||||||
| City: | DANVILLE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 245412922 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4347993859 | ||||||||
| FaxNumber: | 4347736803 | ||||||||
| Practice Location | |||||||||
| Address1: | 2710 S RIFE MEDICAL LN | ||||||||
| Address2: | |||||||||
| City: | ROGERS | ||||||||
| State: | AR | ||||||||
| PostalCode: | 727581452 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4796360200 | ||||||||
| FaxNumber: | 4799863448 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/29/2012 | ||||||||
| LastUpdateDate: | 07/19/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | E-11932 | AR | Y | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 0116029495 | VA | N | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.