Individual
RAUL E GRANADOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(520) 235-4693
Mailing address
2228 W ALASKA AVE, FLAGSTAFF, AZ 86001-8496
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
228701
AZ
Other
Enumeration date
02/07/2026
Last updated
02/11/2026
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