Individual
DR. RANDI GRINSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6275 SHARLANDS AVE STE B15-18, RENO, NV 89523-3734
(775) 204-4000
(775) 204-4001
Mailing address
5975 S LOS ALTOS PKWY, SPARKS, NV 89436-7699
(775) 204-4000
(775) 204-4001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10448
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100504032
—
NV
01
—
HD404Z
PTAN
NV
Enumeration date
07/08/2005
Last updated
03/17/2021
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