Individual
EMILY J GRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2940 E BANNER GATEWAY DR, SUITE 450, GILBERT, AZ 85234
(480) 256-3676
(480) 256-3608
Mailing address
2940 E BANNER GATEWAY DR, SUITE 450, GILBERT, AZ 85234
(480) 256-3676
(480) 256-3608
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
20356
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052465
AHCCCS
AZ
Enumeration date
02/20/2006
Last updated
01/14/2015
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