Individual
MR. GRANT L. CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 MEDICAL DRIVE, SUITE 118, BOUNTIFUL, UT 84010
(801) 292-1422
(801) 296-0436
Mailing address
425 MEDICAL DRIVE, SUITE 118, BOUNTIFUL, UT 84010
(801) 292-1422
(801) 296-0436
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
149797-1205
UT
207RC0000X
Cardiovascular Disease Physician
149797-8905
UT
208M00000X
Hospitalist Physician
149797-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107005467101
IHC
UT
01
—
OMXAFO2632
ALTIUS
UT
Enumeration date
12/05/2006
Last updated
11/20/2017
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