Individual
DR. CARRIE LYNN GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
122 W 8TH ST, ALEGENT HEALTH, LOGAN, IA 51546-1416
(712) 644-3288
(712) 644-2549
Mailing address
PO BOX 642117, OMAHA, NE 68164-8117
(402) 717-4377
(402) 717-4317
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37515
IA
Other
Enumeration date
04/13/2007
Last updated
01/09/2008
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