Individual
LAURA GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3200 S COUNTRY CLUB WAY, TEMPE, AZ 85282-4054
(480) 360-2020
Mailing address
3200 S COUNTRY CLUB WAY, TEMPE, AZ 85282-4054
(480) 360-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301503028
MI
Other
Enumeration date
06/03/2016
Last updated
02/19/2024
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