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Organization
MONTY J GRUGAN DO PC
Active
Organization
MONTY J GRUGAN DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONTY J GRUGAN D.O. (PHYSICAN)
(580) 584-3242
Entity
Organization
Contact information
Practice address
117 N BROADWAY ST, BROKEN BOW, OK 74728-3933
(580) 584-3246
Mailing address
117 N BROADWAY ST, BROKEN BOW, OK 74728-3933
(580) 584-3246
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/12/2007
Last updated
08/22/2020
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