DAXTON THANE GRIGSBY

TAHLEQUAH, OK
NPI1407584717
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OK  5469)
Enumeration Date2022-08-13
Last Update Date2025-07-15
Business Address
DAXTON THANE GRIGSBY PA
19600 E ROSS ST
TAHLEQUAH, OK 74464-0545
Phone number: 539-234-1000
Mailing Address
DAXTON THANE GRIGSBY PA
4502 E 41ST ST
TULSA, OK 74135-2536
Phone number: 918-660-3842
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