Individual
ROBERT GENE GROVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
608 MARKET RD, ALTUS, OK 73521-3353
(580) 482-8808
Mailing address
PO BOX 405, ALTUS, OK 73522-0405
(580) 482-8808
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/10/2007
Last updated
07/09/2007
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