Individual
DR. DAVID GLENN GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1501 S RANGE LINE RD, JOPLIN, MO 64804-3230
(417) 781-7010
(417) 781-7009
Mailing address
1501 S RANGE LINE RD, JOPLIN, MO 64804-3230
(417) 781-7010
(417) 781-7009
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO2953
MO
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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