Individual
JOSHUA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
200 NE MOTHER JOSEPH PL STE 400, VANCOUVER, WA 98664-3290
(360) 514-4444
Mailing address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
(215) 762-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OT014097
PA
207RC0000X
Cardiovascular Disease Physician
Primary
OP60859930
WA
Other
Enumeration date
06/21/2011
Last updated
09/10/2018
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