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Individual

DR. KRISTI J GRALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2800 E AJO WAY, HOSPITAL BASED @ KINO HOSPITAL, TUCSON, AZ 85713-6204
(520) 874-7400
(520) 874-3425
Mailing address
2701 E ELVIRA RD, TUCSON, AZ 85706-7124
(520) 874-3500
(520) 874-3425

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35503
AZ
207P00000X
Emergency Medicine Physician
46792
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111759
AZ
01
P00337338
RR MEDICARE
AZ
Enumeration date
05/15/2006
Last updated
05/29/2008
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