Individual
GRANT PALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
320 ALPENGLOW LANE, LIVINGSTON, MT 59047
(406) 222-3541
(406) 823-6287
Mailing address
320 ALPENGLOW LANE, LIVINGSTON, MT 59047
(406) 222-3541
(406) 823-6630
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN19560
MT
Other
Enumeration date
07/09/2006
Last updated
12/10/2015
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