Justin Ryder Grametbaur, PA

NPI #1346369527 in Midland, Texas

Provider Information

NPI Number
1346369527
Entity Type
Individual
Name
Justin Ryder Grametbaur, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Mar 28, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2104 W MICHIGAN AVE
State
Texas
ZIP Code
79701-5928
Phone
(432) 570-9552

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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