Individual
DR. GREGORY ANTHONY GRANDIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5169 S COTTONWOOD ST STE 640, MURRAY, UT 84107-6771
(801) 507-3600
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(323) 409-7184
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
12870737-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/10/2015
Last updated
01/10/2023
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