Organization
GRD LEASING LLC
Active
Other names
Dr. Detten
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT DETTEN DO (OWNER)
(580) 716-7658
Entity
Organization
Contact information
Practice address
1140 S DOUGLAS BLVD, MIDWEST CITY, OK 73130-5236
(405) 733-8000
(405) 338-7455
Mailing address
PO BOX 403, ELK CITY, OK 73648-0403
(405) 265-6099
(405) 338-7455
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
07/08/2025
Last updated
07/30/2025
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