Individual
GRACE MARGARET ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7912 E 31ST CT, TULSA, OK 74145-1315
(918) 743-8200
(918) 743-8609
Mailing address
4405 W KENT CIR, BROKEN ARROW, OK 74012-9426
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5427
OK
Other
Enumeration date
08/16/2022
Last updated
01/28/2025
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