Individual
MR. BRIAN LEE GRIMMETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
32018 HWY 59, MAUD, OK 74854-0008
(580) 743-5859
(866) 201-3530
Mailing address
PO BOX 8, MAUD, OK 74854-0008
(405) 374-1225
(800) 222-1222
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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