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Individual

DR. RAYMON GROGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600 DIVISADERO ST # C347, BOX 1674, SAN FRANCISCO, CA 94115-3066
(415) 885-7205
Mailing address
ONE BAYLOR PLAZA, MS: BCM 390, HOUSTON, TX 77030
(713) 798-2788

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
46258
TX
208600000X
Surgery Physician
A96280
CA
208600000X
Surgery Physician
Primary
S3980
TX
2086X0206X
Surgical Oncology Physician
S3980
TX

Other

Enumeration date
09/25/2007
Last updated
05/03/2024
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