Individual
AMANDA DIANE GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1301 NE 13TH ST, SUITE 100, PRYOR, OK 74361
(918) 824-6479
(918) 550-6742
Mailing address
110 W 7TH ST STE 2520, TULSA, OK 74119-1104
(918) 579-3826
(918) 579-1262
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
45631
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200339720 A
—
OK
05
—
280022901
—
TX
05
—
280022902
—
TX
05
—
280022903
—
TX
05
—
280022904
—
TX
05
—
78286051
—
NM
Enumeration date
06/26/2008
Last updated
08/05/2025
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