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Organization
KENNETH GRIER MD INC
Active
Organization
KENNETH GRIER MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH GRIER MD (PRESIDENT)
(760) 475-9080
Entity
Organization
Contact information
Practice address
18564 US HIGHWAY 18 STE 101-102, APPLE VALLEY, CA 92307-2312
(760) 475-9080
Mailing address
12277 APPLE VALLEY RD # 195, APPLE VALLEY, CA 92308-1701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
08/21/2023
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