Individual
GEORGE STEPHEN GRANBERRY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9828 E SHANNON WOODS CIR STE 100, WICHITA, KS 67226-4100
(316) 631-1600
(316) 631-1617
Mailing address
9828 E SHANNON WOODS CIR STE 100, WICHITA, KS 67226-4100
(316) 631-1600
(316) 631-1617
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01611
KS
Other
Enumeration date
05/23/2013
Last updated
03/17/2026
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