Search › Oklahoma › 363A00000X
Grant Dietz, PA-C
NPI 1538943618 · on the registry since 2023
Practice
- Address
- 10115 E 80th St Ste A
Tulsa, OK 74133 - Phone
- (918) 994-4400
- Organisation at this address
- Epiphany Dermatology Of Oklahoma, Llc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 3111 Azalea Park Dr, Muskogee, OK
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-11-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma