DR. Radonis Grissom, DO

NPI #1770370199 in Omaha, Nebraska

Provider Information

NPI Number: 1770370199
Entity Type: Individual
Name: DR. Radonis Grissom, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: DO
Enumeration Date: Apr 21, 2025
Last Updated: Jul 5, 2025

Practice Location

Address: 7500 MERCY RD
City: Omaha
State: Nebraska
ZIP Code: 68124-2319
Phone: (402) 280-2709

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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