Individual
DR. GRANT T GOLDSBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1636 NE 126TH AVE, ALLEMAN, IA 50007-9725
(843) 814-6553
Mailing address
1636 NE 126TH AVE, ALLEMAN, IA 50007-9725
(843) 814-6553
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
28186
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281867
—
SC
Enumeration date
10/12/2006
Last updated
02/02/2024
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