Provider Demographics
NPI:1598831703
Name:GROBEN, R PAUL (DO)
Entity Type:Individual
Prefix:DR
First Name:R
Middle Name:PAUL
Last Name:GROBEN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1452
Mailing Address - Street 2:204 N 4TH AVE E ROOM 336
Mailing Address - City:NEWTON
Mailing Address - State:IA
Mailing Address - Zip Code:50208
Mailing Address - Country:US
Mailing Address - Phone:641-787-0025
Mailing Address - Fax:641-787-0201
Practice Address - Street 1:204 N 4TH AVE E
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:IA
Practice Address - Zip Code:50208
Practice Address - Country:US
Practice Address - Phone:641-787-0025
Practice Address - Fax:641-787-0201
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA016062085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2438OtherUNION PACIFIC RAILROAD
4116OtherJELD-WEN
1373348Other1ST HEALTH
1255OtherAMERICAN REBUBLIC
2716OtherSELECT BENEFIT & ADM
5039OtherAETNA
IA0068601Medicaid
2369OtherAMERICAN REBUBLIC
614410OtherTRIGON
614410OtherTRIGON
2438OtherUNION PACIFIC RAILROAD