Organization
V. L. GRANT M. D. PMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT L. GRANT M.D. (MEDICAL DOCTOR PRESIDENT)
(530) 621-1444
Entity
Organization
Contact information
Practice address
1008 FOWLER WAY, SUITE B, PLACERVILLE, CA 95667-5701
(530) 621-1444
(530) 621-1480
Mailing address
1008 FOWLER WAY, SUITE B, PLACERVILLE, CA 95667-5701
(530) 621-1444
(530) 621-1480
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G87310
CA
Other
Enumeration date
03/09/2007
Last updated
08/22/2020
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