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NPI Code Detail

MEDICARE: DR. GRANT NASH CORNING MD

MEDICARE:  DR. GRANT NASH CORNING  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician25023OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033259114
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GRANT NASH CORNING MD
Provider Business Mailing Address
First Line : 1425 ARLINGTON ST
Second Line :
City : ADA
State : OK
Zip : 74820-2636
Country : US
Telephone Number : 580-332-1880
Fax Number : 580-332-2214
Provider Business Practice Location Address
First Line : 1425 ARLINGTON ST
Second Line :
City : ADA
State : OK
Zip : 74820-2636
Country : US
Telephone Number : 580-332-1880
Fax Number : 580-332-2214
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2007
Last Update Date : 01/17/2023

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Directions to “ DR. GRANT NASH CORNING MD” Practice Location

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