Organization
PETER GRANT MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER A GRANT MD (SOLO PRACTITIONER)
(530) 926-5211
Entity
Organization
Contact information
Practice address
635 LASSEN LN, MOUNT SHASTA, CA 96067-9003
(530) 926-5211
Mailing address
2640 E BARNETT RD, SUITE E #225, MEDFORD, OR 97504-4301
(541) 842-4404
(541) 772-1048
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
C43023
CA
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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