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Individual
DR. JOHN HENRY GROGAN
Active
Individual
DR. JOHN HENRY GROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
430
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
430
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0804E
BLUE CROSS BLUE SHIELD
NC
05
—
890804E
—
NC
Enumeration date
05/03/2006
Last updated
04/07/2014
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