Randy James Grellner, DO Valid NPI
Individual provider · Family Medicine Physician · Cushing, OK
- NPI
- 1356364376
- Type
- Individual (Type 1)
- Primary specialty
- Family Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Q00000X
- License number
- 3663 (OK)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-07-25
- Last updated
- 2014-05-01
Practice location
1025 E 2nd St
Cushing, OK 74023-4136
(918) 225-3627