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Individual

DR. JOHN SANTOGROSSI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 675-7661
Mailing address
3111 OLD STERLINGTON RD APT 184, MONROE, LA 71203-2624
(972) 839-5092

Taxonomy

Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
6480
TX
207Q00000X
Family Medicine Physician
Primary
309560
LA

Other

Enumeration date
08/08/2014
Last updated
09/06/2018
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