STEPHEN G GRILLOT

KINGMAN, KS
NPI1083714380
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: KS  05-25303)
Enumeration Date2006-09-25
Last Update Date2012-11-20
Business Address
-- STEPHEN G GRILLOT D.O.
132 W A AVE
KINGMAN, KS 67068-1305
Phone number: 620-532-5800
Mailing Address
-- STEPHEN G GRILLOT D.O.
2021 N AMIDON AVE STE 13 P.O. BOX 1179
WICHITA, KS 67203-2100
Phone number: 316-832-0833
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