Whalio Doctors

NPI 1356364376

Randy James Grellner, DO

Practitioner Family Medicine Physician Cushing, OK

Practice location

Address
1025 E 2nd St, Cushing, OK 74023-4136
Phone
(918) 225-3627
Fax
(918) 225-1008

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 3663 (OK)

Registry record

NPI
1356364376
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Jul 2006
Record last updated
1 May 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.