Individual
GRANT ANDRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
17100 E SHEA BLVD STE 320, FOUNTAIN HILLS, AZ 85268-6654
(480) 816-8300
Mailing address
17100 E SHEA BLVD STE 320, FOUNTAIN HILLS, AZ 85268-6654
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8062
AZ
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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