Individual
DR. JOHNNY RAY GRIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 NW EXPRESSWAY ST, 100 3135, OKLAHOMA CITY, OK 73112-4418
(405) 947-4001
(405) 948-6507
Mailing address
PO BOX 963135, OKC, OK 73196
(405) 947-8586
(405) 948-6507
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
17823
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5039058
AETNA
OK
Enumeration date
06/19/2006
Last updated
10/19/2007
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