Individual
DOMINIQUE K GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
105 W 8TH AVE, SUITE 6060, SPOKANE, WA 99204-2302
(509) 838-4211
(509) 838-6432
Mailing address
105 W 8TH AVE, SUITE 6060, SPOKANE, WA 99204-2302
(509) 838-4211
(509) 838-6432
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
6628
KS
207V00000X
Obstetrics & Gynecology Physician
Primary
MD 60141997
WA
Other
Enumeration date
12/27/2006
Last updated
11/21/2011
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