Individual
GRANT WESLEY HARDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
4815 N ASSEMBLY ST, SPOKANE, WA 99205-6185
(509) 434-7032
Mailing address
4815 N ASSEMBLY ST, SPOKANE, WA 99205-6185
(509) 434-7032
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-100206
ID
Other
Enumeration date
07/07/2010
Last updated
07/07/2010
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