Organization
W. CODY GRAMMER, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CODY GRAMMER M.D. (PRESIDENT/OWNER)
(870) 793-2371
Entity
Organization
Contact information
Practice address
501 VIRGINIA DR, SUITE C, BATESVILLE, AR 72501-7331
(870) 793-2371
(870) 793-7585
Mailing address
501 VIRGINIA DR, SUITE C, BATESVILLE, AR 72501-7331
(870) 793-2371
(870) 793-7585
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155014002
—
AR
Enumeration date
04/21/2006
Last updated
01/06/2009
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