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Individual

BRIAN GROGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6973 LINDA VISTA RD, SAN DIEGO, CA 92111-6342
(858) 279-0925
(858) 633-4680
Mailing address
6153 CAMINITO DEL OESTE, SAN DIEGO, CA 92111-6822
(928) 446-1819
(928) 782-7473

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
21573
AZ
207V00000X
Obstetrics & Gynecology Physician
Primary
G63543
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
132902
AZ
Enumeration date
11/06/2006
Last updated
10/26/2022
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