Grd Leasing LLC
NPI #1245120401 in Midwest City, Oklahoma
Provider Information
- NPI Number
- 1245120401
- Entity Type
- Organization
- Organization Name
- Grd Leasing LLC
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Jul 8, 2025
- Last Updated
- Jul 30, 2025
Practice Location
- Address
- 1140 S DOUGLAS BLVD
- City
- Midwest City
- State
- Oklahoma
- ZIP Code
- 73130-5236
- Phone
- (405) 733-8000
Authorized Official
- Name
- GRANT DETTEN, DO
- Title
- OWNER
- Phone
- (580) 716-7658
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
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