| Consulting Medical, Pllc | |
|
13654 S Western Ave Oklahoma City OK 73170-7004 | |
| (405) 793-1300 | |
| (405) 805-6611 |
| Full Name | Consulting Medical, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 13654 S Western Ave, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | John Dale Grizzle (OWNER) |
| Authorized Official Contact | 4058217726 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Consulting Medical, Pllc 13654 S Western Ave Oklahoma City OK 73170 Ph: (405) 793-1300 | Consulting Medical, Pllc 13654 S Western Ave Oklahoma City OK 73170-7004 Ph: (405) 793-1300 |
| NPI Number | 1184269706 |
|---|---|
| Provider Enumeration Date | 11/07/2019 |
| Last Update Date | 11/07/2019 |
| Medicare PECOS PAC ID | 9739515743 |
|---|---|
| Medicare Enrollment ID | O20200212000098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184269706 | NPI | - | NPPES |
| Provider Name | John D Grizzle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255396073 PECOS PAC ID: 5890758312 Enrollment ID: I20041105000673 |
| Provider Name | Sherry D Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043466014 PECOS PAC ID: 8527128818 Enrollment ID: I20081117000299 |
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