Individual
STEVE GRANADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD14692
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
623381
—
HI
Enumeration date
12/13/2006
Last updated
05/20/2022
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