Individual
DR. DAVID WAYNE GRANT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 370-4678
Mailing address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 370-4678
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OP60577951
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891968319
—
WA
Enumeration date
04/04/2008
Last updated
02/21/2025
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