Organization
SCOTT GRIGORY, MD, PC
Active
Organization
SCOTT GRIGORY, MD, PC
Active
Other names
My Doctor
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT MARTIN GRIGORY M.D. (OWNER)
(580) 579-3385
Entity
Organization
Contact information
Practice address
1 W MAIN ST, SUITE 100, IDABEL, OK 74745-4654
(580) 579-3385
Mailing address
1 W MAIN ST, SUITE 100, IDABEL, OK 74745-4654
(580) 579-3385
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25241
OK
208D00000X
General Practice Physician
25241
OK
261QU0200X
Urgent Care Clinic/Center
25241
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200097850A
—
OK
Enumeration date
01/12/2015
Last updated
10/03/2017
Update your record
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