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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DAXTON THANE GRIGSBY, PA

Active

DAXTON THANE GRIGSBY, PA is a Physician Assistant healthcare provider located in TAHLEQUAH, Oklahoma. NPI 1407584717 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · TAHLEQUAH, OK

Registration Details

NPI Number
1407584717
Provider Type
Individual
Gender
Male
NPI Issued
Aug 13, 2022 (3.998384033587 yrs)
Last Updated
Jul 15, 2025
License
5469 (OK)

Practice Information

Address
19600 E ROSS ST
TAHLEQUAH, OK, 744640545
Browse OK providers · Browse ZIP 74464
Phone
5392341000
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in TAHLEQUAH, OK

Name Credential NPI
CATHY LOUISE WELCH PA-C 1700877321
MS. ANDREA D MITCHELL PA C 1114909843
CRAIG ALAN ALPAUGH RPAC 1851471015
AMANDA KAY OXFORD P.A. 1104001502
DUSTIN J. OXFORD PA-C 1316196371
CANDICE JOY BURKART P.A. 1922334903
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.