DR. Monty J Grugan, DO

NPI #1316907397 in Idabel, Oklahoma

Provider Information

NPI Number: 1316907397
Entity Type: Individual
Name: DR. Monty J Grugan, DO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Mar 24, 2006
Last Updated: Dec 30, 2016

Practice Location

Address: 1301 E LINCOLN RD
City: Idabel
State: Oklahoma
ZIP Code: 74745-7300
Phone: (580) 208-3121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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