Healthcare Provider Details

I. General information

NPI: 1679152029
Provider Name (Legal Business Name): SARAH NOEL GRIFFIN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2021
Last Update Date: 10/16/2024
Certification Date: 10/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 W HOSPITAL RD
FRENCH CAMP CA
95231-9693
US

IV. Provider business mailing address

608 NW 9TH ST STE 1000
OKLAHOMA CITY OK
73102-1014
US

V. Phone/Fax

Practice location:
  • Phone: 209-468-6000
  • Fax:
Mailing address:
  • Phone: 405-272-7494
  • Fax: 405-272-6985

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number22950
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number7643
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: