Search › Oklahoma › 207X00000X
Grant Detten, DO
NPI 1568026227 · on the registry since 2019
Practice
- Address
- 1710 W 3rd St Ste 100
Elk City, OK 73644 - Phone
- (580) 339-7540
- Fax
- (580) 225-2373
- Organisation at this address
- Long Jacket Pllc
Craig Phelps Md Pc
Hetlevia R Jensen Md Pllc
Jayne Rozell Aprn-Cnp Pllc
Western Oklahoma Ent, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Additional practice sites
- 10824 Highway 34, Elk City, OK
Registry record
- Primary taxonomy
- 207X00000X
207X00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-09
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