Individual
DR. RADONIS GRISSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7500 MERCY RD, OMAHA, NE 68124-2319
(402) 280-2709
Mailing address
7710 MERCY RD STE 202, OMAHA, NE 68124-2353
(402) 280-2709
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10371
NE
Other
Enumeration date
04/21/2025
Last updated
07/05/2025
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