Individual
GRANT A HERTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1255 W WASHINGTON ST, TEMPE, AZ 85281-1210
(602) 685-5211
(602) 685-5028
Mailing address
PO BOX 42210, PHOENIX, AZ 85080-2210
(623) 889-7403
(623) 889-7407
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
7621
AZ
Other
Enumeration date
03/03/2006
Last updated
07/12/2010
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