Individual
MR. PATRICK MICHAEL GRANT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3625 W CHESTNUT ST, ROGERS, AR 72756-0351
(479) 246-0101
Mailing address
3700 SW MODERN WAY APT 308, BENTONVILLE, AR 72713-2033
(479) 899-1555
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4153
AR
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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