Individual
DR. JAY PAUL GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
201 WEST MAIN STREET, AMERICAN FORK, UT 84003-2227
(801) 756-6868
(801) 763-1985
Mailing address
201W MAIN ST, AMERICAN FORK, UT 84003-2227
(801) 756-6868
(801) 763-1985
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
901758971202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10463
ATTIUS
UT
01
—
23516
PEHP
UT
01
—
5292851477001
BCBS
UT
01
—
53752
U OF W HEALTH PLAN
UT
01
—
870395551GR1
ED MUTUAL
UT
Enumeration date
06/27/2006
Last updated
09/11/2015
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