Individual
RONI GRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
535 N WILMOT RD, TUCSON, AZ 85711-2600
(520) 694-9937
(520) 694-9917
Mailing address
2701 E ELVIRA RD, TUCSON, AZ 85706-7124
(520) 874-3500
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
21437
AL
2080P0214X
Pediatric Pulmonology Physician
Primary
38210
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000076400
—
AL
05
—
000076613
—
AL
05
—
277071
—
AZ
Enumeration date
08/30/2006
Last updated
07/08/2008
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