# BRIAN K. GRANGER M.D., APMC

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

## Provider details

- **NPI number:** 1942361951
- **Authorized official:** KRISTY COMEAUX (CREDENTIALLING)
- **Authorized official phone:** (337) 264-1291

## Contact information

- **Practice address:** 201 W GLORIA SWITCH RD, SUITE I, LAFAYETTE, LA 70507-2590
- **Practice address phone:** (337) 264-1291
- **Mailing address:** 201 W GLORIA SWITCH RD, SUITE I, LAFAYETTE, LA 70507-2590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 08/22/2020