Search › Oklahoma › 207Q00000X
Jesse Grant, MD
NPI 1871118208 · on the registry since 2020
Practice
- Address
- 2701 N Rockwell Ave
Bethany, OK 73008 - Phone
- (405) 789-4150
- Fax
- (405) 789-1067
- Organisation at this address
- Laboratory Corporation Of America
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-10
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