Organization
PEDIATRIC INTENSIVE CARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNNY RAY GRIGGS MD (MEDICAL DIRECTOR)
(405) 947-5557
Entity
Organization
Contact information
Practice address
3300 NW EXPRESSWAY ST, #100 3135, OKLAHOMA CITY, OK 73112-4418
(405) 947-5557
(405) 948-6507
Mailing address
PO BOX 963135, OKLAHOMA CITY, OK 73196-0001
(405) 947-8586
(405) 948-6507
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
—
—
Other
Enumeration date
06/29/2006
Last updated
04/20/2008
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