Individual
ROBERT R GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5514 CORPORATE DR, SUITE 150, SAINT JOSEPH, MO 64507-7752
(816) 271-1265
(816) 279-7794
Mailing address
5514 CORPORATE DR, SUITE 150, SAINT JOSEPH, MO 64507-7752
(816) 271-1265
(816) 279-7794
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
2003014163
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100644360B
—
KS
05
—
208321802
—
MO
01
—
P00238408
RR MEDICARE
MO
Enumeration date
09/01/2006
Last updated
10/19/2017
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