Scott Grigory, Md, PC

NPI #1790174993 in Idabel, Oklahoma

Provider Information

NPI Number: 1790174993
Entity Type: Organization
Organization Name: Scott Grigory, Md, PC
Primary Specialty: Pediatrics
Enumeration Date: Jan 12, 2015
Last Updated: Oct 3, 2017

Practice Location

Address: 1 W MAIN ST
Address 2: SUITE 100
City: Idabel
State: Oklahoma
ZIP Code: 74745-4654
Phone: (580) 579-3385

Authorized Official

Name: DR. SCOTT MARTIN GRIGORY, M.D.
Title: OWNER
Phone: (580) 579-3385

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Urgent Care — Urgent Care	261QU0200X
General Practice	208D00000X
Pediatrics	208000000X	Primary

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