Individual
JEFFREY WILLIAM GRISHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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
207W00000X
Ophthalmology Physician
Primary
15291
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100102110A
—
OK
Enumeration date
06/15/2005
Last updated
08/22/2016
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