Individual
DR. THOMAS JAMES GROGAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11710 WILSHIRE BLVD, LOS ANGELES, CA 90025-1503
(310) 828-5441
(310) 453-2245
Mailing address
11710 WILSHIRE BLVD, LOS ANGELES, CA 90025-1503
(310) 828-5441
(310) 453-2245
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
G046706
CA
Other
Enumeration date
02/10/2007
Last updated
12/17/2013
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