Individual
ANDREW GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7500 HOSPITAL DR, SACRAMENTO, CA 95823-5403
(916) 423-3000
Mailing address
7500 HOSPITAL DR, SACRAMENTO, CA 95823-5403
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
64855
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2023
Last updated
09/23/2024
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