# PETER A GRANT MD PC

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

## Provider details

- **NPI number:** 1386658672
- **Authorized official:** DR. PETER ALAN GRANT MD (PRESIDENT)
- **Authorized official phone:** (541) 772-3200

## Contact information

- **Practice address:** 473 MURPHY ROAD, MEDFORD, OR 97504
- **Practice address phone:** (541) 772-3200
- **Practice address fax:** (541) 772-1048
- **Mailing address:** 473 MURPHY ROAD, MEDFORD, OR 97504
- **Mailing address phone:** (541) 772-3200
- **Mailing address fax:** (541) 772-1048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | MD14454 | OR | Yes |

## Other

- **Enumeration date:** 07/29/2006
- **Last updated:** 08/22/2020