Individual
ROBERT H GRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 E. APPLEBY RD, SUITE 201, FAYETTEVILLE, AR 72703
(479) 404-1100
(479) 404-1101
Mailing address
PO BOX 550, LOWELL, AR 72745-0550
(479) 463-7775
(479) 463-7187
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
BP10052709
TX
208800000X
Urology Physician
Primary
E-13178
AR
Other
Enumeration date
05/11/2015
Last updated
03/08/2021
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