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Individual

DR. MATTHEW TYLER GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110-1003
(314) 362-8028
(314) 747-1288
Mailing address
660 S EUCLID AVE, 9901 WOHL HOSPITAL CAMPUS BOX 8109, SAINT LOUIS, MO 63110-1010
(314) 362-8028
(314) 747-1288

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2018015583
MO

Other

Enumeration date
06/14/2016
Last updated
10/30/2019
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