Individual
GRANT A ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
120 PARK AVE, HEBRON, NE 68370-2019
(402) 768-7203
(402) 768-4669
Mailing address
120 PARK AVE, HEBRON, NE 68370-2019
(402) 768-7203
(402) 768-4669
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
592
NE
Other
Enumeration date
09/13/2005
Last updated
12/01/2021
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