Phillip D Grimes P C

NPI #1386860443 in Mustang, Oklahoma

Provider Information

NPI Number: 1386860443
Entity Type: Organization
Organization Name: Phillip D Grimes P C
Primary Specialty: Optometrist
Enumeration Date: Apr 17, 2007
Last Updated: Oct 13, 2011

Practice Location

Address: 1108 E. HIGHWAY 152
City: Mustang
State: Oklahoma
ZIP Code: 73064-5116
Phone: (405) 376-2429

Authorized Official

Name: DR. PHILLIP DON GRIMES, O.D.
Title: PRESIDENT
Phone: (405) 376-2429

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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