Individual
DR. COLLIN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
473 MURPHY RD, MEDFORD, OR 97504
(541) 772-3200
(541) 772-1048
Mailing address
473 MURPHY RD, MEDFORD, OR 97504-8143
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD204021
OR
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
MD204021
OR
Other
Enumeration date
06/08/2016
Last updated
09/23/2021
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