Individual
STUART VICTOR GRANDIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 GAYMONT RD, RICHMOND, VA 23229-8014
(804) 288-8976
(804) 288-8976
Mailing address
1 GAYMONT RD, RICHMOND, VA 23229-8014
(804) 288-8976
(804) 288-8976
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101018603
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5618673
—
VA
Enumeration date
08/15/2005
Last updated
07/08/2007
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