GRANT RICHARD DETTEN

ELK CITY, OK
NPI1568026227
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: OK  6969)
Enumeration Date2019-04-29
Last Update Date2024-12-09
Business Address
GRANT RICHARD DETTEN DO
1710 W 3RD ST STE 100
ELK CITY, OK 73644-5160
Phone number: 580-339-7540
Mailing Address
GRANT RICHARD DETTEN DO
1710 W 3RD ST STE 100
ELK CITY, OK 73644-5160
Phone number: 580-339-7540
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