Search › Oklahoma › 111N00000X
Shannon Grimes
NPI 1730681727 · on the registry since 2018
Practice
- Address
- 1603 S Muskogee Ave
Tahlequah, OK 74464 - Phone
- (918) 453-9355
- Fax
- (918) 871-4801
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-06-16
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