Individual
DR. ELON JOSHUA GRANADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
EMILE @ 42ND ST, OMAHA, NE 68198-1045
(402) 559-1010
(402) 559-1011
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
145729
CA
2085R0202X
Diagnostic Radiology Physician
Primary
30893
NE
2085R0202X
Diagnostic Radiology Physician
4301092932
MI
Other
Enumeration date
07/11/2008
Last updated
10/14/2018
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