Individual
MR. TROY GLENN GRIZZLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
7791 MERCURY RD, TINKER AFB, OK 73145-8713
(405) 739-3993
Mailing address
7791 MERCURY RD, TINKER AFB, OK 73145-8713
(405) 739-3993
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
CA
Other
Enumeration date
03/09/2006
Last updated
07/08/2007
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