Organization
CONSULTING MEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DALE GRIZZLE II MD (OWNER)
(405) 821-7726
Entity
Organization
Contact information
Practice address
13654 S WESTERN AVE, OKLAHOMA CITY, OK 73170-7004
(405) 793-1300
(405) 805-6611
Mailing address
13654 S WESTERN AVE, OKLAHOMA CITY, OK 73170
(405) 793-1300
(405) 805-6611
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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