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Darrell Grise, O.D

NPI 1720012008 · on the registry since 2006

Practice

Address
307 Boatner Rd
Suite 114
Eglin Afb, FL 32542
Phone
(850) 883-9472
Fax
(850) 883-1267
Organisation at this address
96th Medgrp-Eglin
Inferred from a shared address, not stated in the registry.
Clinicians at this address
506

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-10-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida