Organization
GRANDY PODIATRY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS W GRANDY D.P.M. (PODIATRIST)
(916) 548-7837
Entity
Organization
Contact information
Practice address
730 46TH ST, SACRAMENTO, CA 95819-3149
(916) 548-7837
(209) 473-1405
Mailing address
PO BOX 191513, SACRAMENTO, CA 95819-7513
(916) 548-7837
(209) 473-1405
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
E3293
CA
Other
Enumeration date
05/30/2015
Last updated
08/22/2017
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