Individual
GRANT RICHARD STAMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4287 CART PATH, TERRE HAUTE, IN 47802-8161
(812) 241-1384
Mailing address
4287 CART PATH, TERRE HAUTE, IN 47802-8161
(812) 241-1384
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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