Individual
MR. THOMAS GRADEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
121 N NYES RD, HARRISBURG, PA 17112-3247
(717) 657-4040
Mailing address
121 N NYES RD, HARRISBURG, PA 17112-3247
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
PA
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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