| Doctor Name: | DR. KURT THOMAS GROZINGER |
| NPI Number: | 1548264211 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 05413R |
| Business Practice Address: | 2105 Airline Dr Bossier City, LA - 711113105 |
| Business Phone Number: | 3187416078 |
| Business Fax Number: | |
| Mailing Address: | Po Box 3509, SHREVEPORT |
| State: | LA |
| Postal Code: | 711333509 |
| Phone Number: | 3187477370 |
| Fax Number: | 3187472913 |
| NPI Enumeration Date: | 06/09/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 05413R |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | LA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |