Individual
JEFFREY S GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
608 E COMANCHE ST, FARMINGTON, NM 87401-6815
(505) 325-0072
(505) 327-1739
Mailing address
PO BOX 677, FARMINGTON, NM 87499-0677
(505) 325-0072
(505) 327-1739
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
99216
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99216
STATE LICENSE NUMBER
NM
Enumeration date
02/28/2007
Last updated
09/12/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us