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1720047905
STANLEY E. GROGG
TULSA, OK
NPI
1720047905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: OK 1598)
Enumeration Date
2006-03-17
Last Update Date
2008-06-29
Business Address
-- STANLEY E. GROGG DO
635 W 11TH ST
TULSA, OK 74127-9014
Phone number: 918-382-3100
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Mailing Address
-- STANLEY E. GROGG DO
2345 SOUTHWEST BLVD
TULSA, OK 74107-2705
Phone number: 918-582-1980
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