Individual
DR. AMBER K GRUTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8372
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8372
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
28232
OK
Other
Enumeration date
06/16/2009
Last updated
01/07/2011
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