Individual
MRS. LISA MCPHEE GRINNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19555 N 59TH AVE, GLENDALE, AZ 85308-6813
(623) 572-3215
Mailing address
14523 N 87TH AVE, PEORIA, AZ 85381-3590
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/05/2019
Last updated
07/05/2019
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