Individual
MR. DANIEL JOSEPH GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPED
Contact information
Practice address
6112 E 61ST ST, TULSA, OK 74136-2117
(918) 408-0589
(918) 272-0071
Mailing address
6112 E 61ST ST, TULSA, OK 74136-2117
(918) 408-0589
(918) 272-0071
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
109
OK
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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