Individual
MARK AUSTIN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 E AJO WAY, TUCSON, AZ 85713-6204
(520) 874-4082
Mailing address
3950 S COUNTRY CLUB RD STE 130, TUCSON, AZ 85714-2203
(520) 874-4800
(520) 874-4801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R77275
AZ
Other
Enumeration date
04/11/2019
Last updated
05/03/2022
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