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Individual

DR. RYAN A, GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., M.S.

Contact information

Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-3220
(570) 271-6437
(570) 271-6663
Mailing address
139 N 4TH ST, LEWISBURG, PA 17837-1403
(570) 271-6144
(570) 271-6578

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
308723
NY
207T00000X
Neurological Surgery Physician
61935
TN
207T00000X
Neurological Surgery Physician
Primary
MD463495
PA

Other

Enumeration date
07/13/2009
Last updated
05/10/2021
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