person
Roy N Grantham, MD
Vascular Surgery Physician in Oklahoma City, Oklahoma
NPI 1568457265

Roy N Grantham is a Vascular Surgery Physician based in Oklahoma City, OK and is specialized in Vascular Surgery. Roy N Grantham practices in Oklahoma City, OK and has the professional credentials of MD. The NPI Number for Roy N Grantham is 1568457265 and holds a License No. 16465 (Oklahoma).

The current practice location address for Roy N Grantham is 4221 S Western Ave, Oklahoma City, OK and can be reached out via phone at 405-231-0540 and via fax at 405-644-5309.

Location: 4221 S Western Ave, Oklahoma City, OK, 73112-4726
person
Provider Profile Details
NPI Number
1568457265
Provider Name
Roy N Grantham
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4221 S Western Ave, Oklahoma City, OK, 73112-4726
Phone Number
405-231-0540
Fax Number
405-644-5309
Provider Enumeration Date
09/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5765290 01 OK AETNA
060052653 01 RAILROAD MEDICARE
100122170A 05 OK
125309100 01 OK DOL
institution
Provider Business Practice Location Address Details
Address
4221 S Western Ave
City
State
Zip
73109-3447
Phone Number
405-231-0540
Fax Number
405-644-5309
person
Provider Business Mailing Address Details
Address
4221 S Western Ave
City
State
Zip
73109-3447
Phone Number
405-231-0540
Fax Number
405-644-5309
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
16465 (Oklahoma)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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