MR. Jed D. Grant, PA-C

NPI #1124064548 in Tulare, California

Provider Information

NPI Number: 1124064548
Entity Type: Individual
Name: MR. Jed D. Grant, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 22, 2006
Last Updated: Feb 14, 2011

Practice Location

Address: 869 NORTH CHERRY STREET
City: Tulare
State: California
ZIP Code: 93274-2287
Phone: (559) 695-3450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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