Individual provider · Type 1 NPI

Daxton Thane Grigsby, PA

Physician Assistant · Tahlequah, OK

NPI number 1407584717 Active

Practice location

19600 E Ross St
Tahlequah, OK 74464-0545

Call (539) 234-1000 Map

Mailing address

4502 E 41st St
Tulsa, OK 74135-2536

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5469 (OK)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1407584717

Daxton Thane Grigsby, PA's National Provider Identifier is 1407584717, issued on Aug 13, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Tahlequah, OK. The record was last updated on Jul 15, 2025.