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Organization

GRISHAM EYE ASSOCIATES PC

Active
Other names
GRISHAM EYE SURGERY CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY WILLIAM GRISHAM MD (PRESIDENT)
(918) 333-2020
Entity
Organization

Contact information

Practice address
3615 SE KENTUCKY ST, BARTLESVILLE, OK 74006-2324
(918) 333-2020
(918) 335-3253
Mailing address
3615 SE KENTUCKY ST, BARTLESVILLE, OK 74006-2324
(918) 333-2020
(918) 335-3253

Taxonomy

Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
0039
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100740380B
OK
Enumeration date
08/23/2006
Last updated
08/28/2008
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