Individual
DR. PETER ALAN GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
473 MURPHY RD, MEDFORD, OR 97504-8143
(541) 772-3200
(541) 772-1048
Mailing address
473 MURPHY RD, MEDFORD, OR 97504-8143
(541) 772-3200
(541) 772-1048
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD14454
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124271
—
OR
Enumeration date
01/03/2007
Last updated
11/12/2013
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