Individual
STEPHEN RICHARD GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 S MEDICAL CENTER DR, ST GEORGE, UT 84790-8723
(435) 251-4800
(435) 251-4801
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
12186561-1205
UT
Other
Enumeration date
05/29/2016
Last updated
08/18/2021
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