Individual
DAVID MELVIN GRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
903 MEDICAL CENTER DR, ARLINGTON, WA 98223-1697
(360) 435-0242
Mailing address
1400 E. KINCAID STREET, ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD60193694
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2014210
—
WA
01
—
354589
LABOR & INDUSTRIES
WA
Enumeration date
01/08/2009
Last updated
11/27/2017
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