Organization
JOHNSON AND GROTE PEDIATRICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND GROTE MD (PHYSICIAN)
(417) 623-4077
Entity
Organization
Contact information
Practice address
702 E 34TH ST, STE 203, JOPLIN, MO 64804-3967
(417) 623-4077
(417) 623-5171
Mailing address
702 E 34TH ST, STE 203, JOPLIN, MO 64804-3967
(417) 623-4077
(417) 623-5171
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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