Individual
DR. GREGORY M. GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 N 18TH ST, SUITE 503, PHOENIX, AZ 85006-4102
(602) 252-3829
(602) 252-3846
Mailing address
5229 E DOUBLETREE RANCH RD, PARADISE VALLEY, AZ 85253-1645
(602) 252-3829
(602) 252-3846
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
28675
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
710419
—
AZ
Enumeration date
06/22/2006
Last updated
10/12/2007
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