Organization
PETER A GRANT MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER ALAN GRANT MD (PRESIDENT)
(541) 772-3200
Entity
Organization
Contact information
Practice address
473 MURPHY ROAD, MEDFORD, OR 97504
(541) 772-3200
(541) 772-1048
Mailing address
473 MURPHY ROAD, MEDFORD, OR 97504
(541) 772-3200
(541) 772-1048
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD14454
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124271
—
OR
Enumeration date
07/29/2006
Last updated
08/22/2020
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