# CONSULTING MEDICAL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184269706
- **Authorized official:** DR. JOHN DALE GRIZZLE II MD (OWNER)
- **Authorized official phone:** (405) 821-7726

## Contact information

- **Practice address:** 13654 S WESTERN AVE, OKLAHOMA CITY, OK 73170-7004
- **Practice address phone:** (405) 793-1300
- **Practice address fax:** (405) 805-6611
- **Mailing address:** 13654 S WESTERN AVE, OKLAHOMA CITY, OK 73170
- **Mailing address phone:** (405) 793-1300
- **Mailing address fax:** (405) 805-6611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | NULL | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 11/07/2019
- **Last updated:** 11/07/2019