Individual
DR. PHILIP EDWARDS GRASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.D.
Contact information
Practice address
3000 N 14TH ST STE 3A, BISMARCK, ND 58503-0697
(701) 751-4464
(701) 751-3947
Mailing address
3000 N 14TH ST STE 3A, BISMARCK, ND 58503-0697
(701) 751-4464
(701) 751-3947
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
09-1143
AZ
175F00000X
Naturopath
1876
OR
175F00000X
Naturopath
Primary
2024-02
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500645391
—
OR
Enumeration date
09/09/2010
Last updated
11/13/2024
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