Individual
AUSTIN GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
19646 N 27TH AVE STE 201, PHOENIX, AZ 85027-4026
(602) 663-9371
(602) 456-6887
Mailing address
19646 N 27TH AVE STE 201, PHOENIX, AZ 85027-4026
(602) 663-9371
(602) 456-6887
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
6846
AZ
363A00000X
Physician Assistant
Primary
6846
AZ
Other
Enumeration date
10/06/2017
Last updated
06/02/2025
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