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Organization

GROVE GENERAL HOSPITAL

Active
Other names
Integris Grove General Hospital Anesthesia Department
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GREG MARTIN (ADMINISTRATOR)
(918) 786-2243
Entity
Organization

Contact information

Practice address
1001 E 18TH ST, GROVE, OK 74344-2907
(918) 787-8980
(918) 787-6052
Mailing address
PO BOX 6808, GROVE, OK 74344-6808
(918) 787-8980
(918) 787-6052

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100699700M
OK
Enumeration date
02/20/2009
Last updated
01/25/2010
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