Individual provider · Type 1 NPI

Grant D. Roberts, PA

Surgical Physician Assistant · Oklahoma City, OK

NPI number 1336111483 Active

Practice location

3110 SW 89th St Ste 102
Oklahoma City, OK 73159-7919

Call (405) 703-4950 Map

Fax (405) 703-4955

Mailing address

14024 Quail Pointe Dr
Oklahoma City, OK 73134-1006

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X1204 (OK)
Surgical Physician Assistant Primary 363AS0400X1204 (OK)

Surgical Physician Assistant: Definition to come...

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About NPI 1336111483

Grant D. Roberts, PA's National Provider Identifier is 1336111483, issued on Feb 3, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Oklahoma City, OK. The record was last updated on Jul 24, 2015.