Individual
DR. GRANT JAMES LINNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
111 COLCHESTER AVE, FAHC RADIOLOGY, BURLINGTON, VT 05401
(802) 847-3593
(802) 847-4822
Mailing address
6900 E CAMELBACK RD STE 700, SCOTTSDALE, AZ 85251-2400
(480) 306-6949
(602) 302-5706
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
320000530
VT
2085R0202X
Diagnostic Radiology Physician
OS020989
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02722329
—
NY
05
—
1012212
—
VT
05
—
103897288
—
PA
Enumeration date
03/03/2006
Last updated
07/08/2022
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