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MRS. DANA ELIZABETH GRABHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
3929 E BELL RD, PHOENIX, AZ 85032-2112
(602) 923-5000
Mailing address
5434 E BARWICK DR, CAVE CREEK, AZ 85331-2404

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
PA1012
KY
363A00000X
Physician Assistant
Primary
2746
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3981220
EVERCARE GROUP #
AZ
01
453051001
GROUP HEALTH GRP #
AZ
05
740771
AZ
01
860373636
HUMANA GROUP #
AZ
01
AW1436
HEALTHNET GRP #
AZ
Enumeration date
11/02/2005
Last updated
11/03/2021
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