Individual
DIXIE L GRANT-COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
744 W 9TH ST, TULSA, OK 74127-9020
(918) 587-2561
Mailing address
DEPT. 672, TULSA, OK 74182-0001
(866) 321-8433
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
2524
OK
Other
Enumeration date
10/12/2005
Last updated
07/08/2007
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