Individual
GRANT RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 PINOLE VALLEY RD, PINOLE, CA 94564-1384
(510) 243-4000
Mailing address
1699 MARKET ST APT 12, SAN FRANCISCO, CA 94103-1244
(724) 413-5805
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
20A22558
CA
Other
Enumeration date
05/24/2021
Last updated
09/11/2024
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