John Richard Gralow, PAC

NPI #1043313323 in Fort Riley, Kansas

Provider Information

NPI Number: 1043313323
Entity Type: Individual
Name: John Richard Gralow, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Sep 5, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 600 CAISSON HILL ROAD
Address 2: IRWIN ARMY COMMUNITY HOSPITAL
City: Fort Riley
State: Kansas
ZIP Code: 66442-5037
Phone: (785) 239-7155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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