Individual
WILLIAM JAREL GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SURGICAL ASSISTANT
Contact information
Practice address
14231 E 1ST DR UNIT 203, AURORA, CO 80011-3818
(720) 955-0456
Mailing address
PO BOX 440216, AURORA, CO 80044-0216
(720) 955-0456
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
SA.0002850
CO
246ZS0410X
Surgical Technologist
ST.0001857
CO
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/05/2022
Last updated
10/15/2024
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