Provider Demographics
NPI:1649347501
Name:GRUBBS, JOEL S (DO)
Entity type:Individual
Prefix:
First Name:JOEL
Middle Name:S
Last Name:GRUBBS
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:5300 N INDEPENDENCE AVE
Mailing Address - Street 2:280
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-5556
Mailing Address - Country:US
Mailing Address - Phone:405-715-5300
Mailing Address - Fax:405-715-5350
Practice Address - Street 1:2916 N KELLY AVE
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73003-3233
Practice Address - Country:US
Practice Address - Phone:405-715-5300
Practice Address - Fax:405-715-5350
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2017-07-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK5143207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine