William Anthony Gromko, M.D.
Family Medicine in Sandy, OR. Individual provider (NPI-1).
NPI number1477565026
StatusActive
Last updated in NPPESMay 11, 2021
Details
- NPI
- 1477565026
- Entity type
- Individual (NPI-1)
- Name
- Mr. William Anthony Gromko
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 12, 2006
- Certification date
- May 11, 2021
- Last updated
- May 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD204079 | OR | Yes |
| 207Q00000X | Family Medicine | 14461 | WA | |
| 207Q00000X | Family Medicine | 66750 | MN |
Practice location
17055 Ruben LnSandy, OR 97055-9276
Phone 503-668-8002 · Fax 503-668-5246
Mailing address
17055 Ruben LnSandy, OR 97055-9276
Phone 503-668-8002
Other practice locations
360 Lilly Rd Ne Ste B
Olympia, WA 98506-5430
Olympia, WA 98506-5430
Phone 360-491-8100 · Fax 360-491-7793
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