| Monty J Grugan Do Pc | |
|
117 N Broadway St Broken Bow OK 74728-3933 | |
| (580) 584-3246 | |
| Not Available |
| Full Name | Monty J Grugan Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 117 N Broadway St, Broken Bow, Oklahoma |
| Authorized Official Name and Position | Monty J Grugan (PHYSICAN) |
| Authorized Official Contact | 5805843242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monty J Grugan Do Pc 117 N Broadway St Broken Bow OK 74728-3933 Ph: (580) 584-3246 | Monty J Grugan Do Pc 117 N Broadway St Broken Bow OK 74728-3933 Ph: (580) 584-3246 |
| NPI Number | 1093847394 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093847394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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