Individual
MR. DAVID ALLEN GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 EDGARTOWN RD, VINEYARD HAVEN, MA 02568-5699
(508) 693-7900
Mailing address
111 EDGARTOWN RD, VINEYARD HAVEN, MA 02568-5699
(508) 693-7900
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MA
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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