Organization
FOOTHILLS ORTHOPAEDIC SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY M GRANT M.D. (PRESIDENT)
(602) 252-6829
Entity
Organization
Contact information
Practice address
3135 E LINCOLN DR STE B, PHOENIX, AZ 85016-2301
(602) 252-3829
(602) 252-3846
Mailing address
3219 E CAMELBACK RD STE 401, PHOENIX, AZ 85018-2307
(602) 252-3829
(602) 252-3846
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
28675
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
710419
AHCCC
AZ
Enumeration date
06/26/2006
Last updated
01/07/2020
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