Individual
DR. GRANT VORSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
81833 DR CARREON BLVD, SUITE 5, INDIO, CA 92201-0602
(760) 863-2241
(760) 863-1919
Mailing address
81833 DR CARREON BLVD, SUITE 5, INDIO, CA 92201-0602
(760) 863-2241
(760) 863-1919
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12440T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0124400
—
CA
Enumeration date
10/18/2006
Last updated
04/29/2014
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