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Individual
ROBERT E GRADY JR.
Active
Individual
ROBERT E GRADY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4704
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006991
BCBS
SD
05
—
0529438
—
IA
05
—
150724001
—
AR
05
—
1632879-01
—
TX
05
—
207219205
—
MO
05
—
5707250
—
SD
01
—
64G78GR
BCBS
MN
05
—
756223300
—
MN
Enumeration date
02/28/2006
Last updated
04/17/2017
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