Individual
AUSTIN MARC BURNS GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
473 MURPHY RD, MEDFORD, OR 97504-8143
(541) 772-3200
Mailing address
473 MURPHY RD, MEDFORD, OR 97504-8143
(541) 773-1165
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD212403
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2018
Last updated
07/25/2022
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