GRANT RICHARD DETTEN DO NPI 1568026227

NPI Information

Grant Richard Detten, DO is a student in an organized health care education training program in Oklahoma City, OK. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Grant Richard Detten, DO NPI is 1568026227. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1111 N DEWEY AVE
OKLAHOMA CITY, OK
ZIP 73103-609
Phone: (405) 979-7859

The enumeration date for this NPI number is 4/29/2019 and was last updated on 4/29/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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