Individual
WILLIAM P GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
760 INDEPENDENCE BLVD, SUITE 1, VIRGINIA BEACH, VA 23455-6206
(757) 497-7575
(757) 490-1795
Mailing address
PO BOX 5447, VIRGINIA BEACH, VA 23471-0447
(757) 497-7575
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103000572
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9301658
—
VA
Enumeration date
09/02/2006
Last updated
12/30/2014
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