Individual
DR. LINDA L GRANATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
630 N ALVERNON WAY, #251, TUCSON, AZ 85711-1843
(520) 322-8460
(520) 322-8210
Mailing address
630 N ALVERNON WAY, #251, TUCSON, AZ 85711-1843
(520) 322-8460
(520) 322-8210
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34128
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
944000
—
AZ
Enumeration date
12/08/2005
Last updated
08/07/2007
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