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Individual

BRYAN R GRIEME

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 N LEE AVE, 4TH FLOOR, OKLAHOMA CITY, OK 73102-1036
(405) 272-7699
(405) 272-7937
Mailing address
1000 N LEE AVE, 4TH FLOOR, OKLAHOMA CITY, OK 73102-1036
(405) 272-7699
(405) 272-7937

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
24843
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200080280A
OK
Enumeration date
04/21/2006
Last updated
07/02/2012
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