Grand Lake Regional Cardiology Services LLC
NPI #1811996861 in Grove, Oklahoma
Provider Information
- NPI Number
- 1811996861
- Entity Type
- Organization
- Organization Name
- Grand Lake Regional Cardiology Services LLC
- Primary Specialty
- Internal Medicine - Interventional Cardiology
- Enumeration Date
- Jul 20, 2005
- Last Updated
- Jul 21, 2022
Practice Location
Authorized Official
- Name
- MR. PAUL EDWARD CALLICOAT JR., MD
- Title
- PHYSICIAN MANAGER
- Phone
- (918) 786-7667
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Interventional Cardiology — Interventional Cardiology |
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