Individual
DAVID G GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7003 CHAD COLLEY BLVD, BARLING, AR 72923-3000
(479) 431-3500
Mailing address
7003 CHAD COLLEY BLVD, BARLING, AR 72923-3000
(479) 431-3500
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
E-11782
AR
207Y00000X
Otolaryngology Physician
MFC1664
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002615700
—
FL
Enumeration date
08/19/2010
Last updated
02/05/2019
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