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Individual

GRANT MELTZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1001 TOWSON AVE, FORT SMITH, AR 72901-4921
(479) 441-5005
Mailing address
PO BOX 11917, FORT SMITH, AR 72917-1917

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
29158
OK
207R00000X
Internal Medicine Physician
Primary
E-13012
AR
207RN0300X
Nephrology Physician
R1246
TX

Other

Enumeration date
05/29/2012
Last updated
02/11/2021
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