Individual
KRISTIN RUTH GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
330 S STILLAGUAMISH AVE, DEPARTMENT OF RADIOLOGY, ARLINGTON, WA 98223-1642
(360) 618-7614
Mailing address
PO BOX 6725, BELLEVUE, WA 98008-0725
(425) 649-7540
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
47789-020
WI
2085R0202X
Diagnostic Radiology Physician
MD12835
RI
2085R0202X
Diagnostic Radiology Physician
Primary
MD60183300
WA
Other
Enumeration date
04/02/2008
Last updated
05/03/2011
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