Individual
MR. WILLIAM ALFONSO GRANILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTAN T
Contact information
Practice address
888 N ALTA AVE, DINUBA, CA 93618-3089
(559) 595-1000
(559) 591-6322
Mailing address
4690 N BENGSTON AVE, FRESNO, CA 93705-0309
(559) 226-1500
(559) 226-1500
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10807
CA
Other
Enumeration date
09/29/2007
Last updated
09/29/2007
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