Individual
DR. BRYDON J.B. GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10712 S 1300 E, SANDY, UT 84094-5094
(800) 258-5329
Mailing address
205 BAYNES CT, CHAPEL HILL, NC 27517-9523
(919) 419-0125
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
—
NC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
154772
NY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
5868721-1205
UT
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
IL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02506141
—
NY
Enumeration date
10/12/2005
Last updated
03/03/2008
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