Individual
DR. SCOTT GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 W BASTANCHURY RD, 285, FULLERTON, CA 92835-3419
(714) 738-4620
(714) 738-0388
Mailing address
301 W BASTANCHURY RD, 285, FULLERTON, CA 92835-3419
(714) 738-4620
(714) 738-0388
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
G32479
CA
Other
Enumeration date
05/31/2006
Last updated
04/21/2017
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