Individual
GRANT ROBERT STORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
406 N 1ST ST STE B, VINCENNES, IN 47591-1358
(812) 882-5220
(128) 868-9388
Mailing address
1160 E SAINT CLAIR ST, VINCENNES, IN 47591-4853
(812) 885-8763
(812) 885-8499
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/14/2021
Last updated
02/26/2024
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