Individual
NELLY GRIGORIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4502 E 41ST ST STE 2A44, TULSA, OK 74135-2536
(918) 619-4200
Mailing address
4502 E 41ST ST STE 2A44, TULSA, OK 74135-2536
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OK
Other
Enumeration date
04/13/2022
Last updated
04/22/2022
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