NATALIE BANKS GRISHAM

LAWTON, OK
NPI1134567548
Former NameNATALIE BANKS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2086S0127X Surgery, Trauma Surgery
(Licence: AR  T2020-507)
Additional Taxonomies208600000X Surgery
(Licence: VA  0116025854)
208600000X Surgery
(Licence: OK  33688)
Enumeration Date2013-06-07
Last Update Date2020-10-26
Business Address
NATALIE BANKS GRISHAM MD
1515 NE LAWRIE TATUM RD
LAWTON, OK 73507-3002
Phone number: 580-354-5000
Mailing Address
NATALIE BANKS GRISHAM MD
5 SAINT VINCENT CIR STE 210
LITTLE ROCK, AR 72205-5416
Phone number: