# JEFFREY S. GRANT, M.D., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083702203
- **Authorized official:** JEFFREY S GRANT M.D. (CEO)
- **Authorized official phone:** (505) 325-0072

## Contact information

- **Practice address:** 608 E COMANCHE ST, FARMINGTON, NM 87401-6815
- **Practice address phone:** (505) 325-0072
- **Practice address fax:** (505) 327-1739
- **Mailing address:** PO BOX 677, FARMINGTON, NM 87499-0677
- **Mailing address phone:** (505) 325-0072
- **Mailing address fax:** (505) 327-1739

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 99-216 | NM | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 05/13/2011