Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GRANT D ROBERTS, PA
ActiveSurgical Physician Assistant · OKLAHOMA CITY, OK
Registration Details
- NPI Number
- 1336111483
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 3, 2006 (20.212669038641 yrs)
- Last Updated
- Jul 24, 2015
- Licenses
-
1204 (OK)1204 (OK)
Practice Information
- Address
-
3110 SW 89TH ST STE 102OKLAHOMA CITY, OK, 731597919Browse OK providers · Browse ZIP 73159
- Phone
- 4057034950
- Fax
- 4057034955
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in OKLAHOMA CITY, OK
| Name | Credential | NPI |
|---|---|---|
| MARK DANIEL JOHNSON | PA-C | 1508855677 |
| DEMETRIOUS FARROW | PA-C | 1598754608 |
| MS. AMY B RISLEY | PA | 1487626826 |
| MR. RANDALL ASHLEY PAPE | PA-C | 1891761136 |
| STEPHANIE R. GARRISON | P.A. | 1124094446 |
| MRS. AMANDA LYNN KNOWLES | PA-C | 1033179106 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.