Grace Dpc

NPI #1477025658 in Cherokee, Oklahoma

Provider Information

NPI Number: 1477025658
Entity Type: Organization
Organization Name: Grace Dpc
Primary Specialty: Family Medicine
Enumeration Date: Dec 27, 2018
Last Updated: Dec 12, 2025

Practice Location

Address: 221 S GRAND AVE
City: Cherokee
State: Oklahoma
ZIP Code: 73728-2029
Phone: (580) 307-6263

Authorized Official

Name: NIKI LEWIS-WYATT, PA-C
Title: PRESIDENT
Phone: (580) 307-6263

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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