Individual
DR. BRIAN W GRANTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4234 ILLINOIS AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0456
Mailing address
4234 ILLINOIS AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0456
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2017026692
MO
207P00000X
Emergency Medicine Physician
Primary
E998
AR
207Q00000X
Family Medicine Physician
E998
AR
207QG0300X
Geriatric Medicine (Family Medicine) Physician
E998
AR
207QS0010X
Sports Medicine (Family Medicine) Physician
E998
AR
2083S0010X
Sports Medicine (Preventive Medicine) Physician
E998
AR
208D00000X
General Practice Physician
E998
AR
208M00000X
Hospitalist Physician
E998
AR
Other
Enumeration date
07/02/2007
Last updated
05/11/2026
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