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Individual

DR. PATRICK DEAN GRACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
(701) 530-7688
Mailing address
3645 S ROME ST, STE 204, GILBERT, AZ 85297-7338
(623) 777-4747

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2015-01028
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
16772
ND
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
58110
AZ
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME135395
FL

Other

Enumeration date
06/12/2013
Last updated
08/05/2020
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