Individual
GRANT M GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3380 N FUTRALL DR STE 1, FAYETTEVILLE, AR 72703
(479) 442-7322
(479) 442-7379
Mailing address
PO BOX 1523, FAYETTEVILLE, AR 72702-1523
(479) 571-6038
(479) 582-0222
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E-11863
AR
Other
Enumeration date
04/04/2016
Last updated
03/14/2024
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