Individual
DR. MARCIA LYNN GRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3515 E 31ST ST, SUITE C, TULSA, OK 74135-1520
(918) 748-9876
(918) 748-9331
Mailing address
3515 E 31ST ST, SUITE C, TULSA, OK 74135-1520
(918) 748-9876
(918) 748-9331
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2584
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
731329673001
BLUECROSS PROVIDER NUMBER
OK
Enumeration date
03/05/2007
Last updated
07/08/2007
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