Individual
MR. BRETT RYAN GRUNDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MMS, PA-C
Contact information
Practice address
880 N STATE ST, HEMET, CA 92543-1459
(951) 766-2462
(951) 766-2479
Mailing address
880 N STATE ST, HEMET, CA 92543-1459
(951) 766-2462
(951) 766-2479
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 18749
CA
Other
Enumeration date
04/26/2007
Last updated
07/05/2011
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