Jerry H Grant, M.d., P.a.

NPI #1366745705 in El Dorado, Arkansas

Provider Information

NPI Number
1366745705
Entity Type
Organization
Organization Name
Jerry H Grant, M.d., P.a.
Primary Specialty
Clinic/Center
Enumeration Date
Dec 7, 2010
Last Updated
Aug 7, 2019

Practice Location

Address
104 E GROVE ST
ZIP Code
71730
Phone
(870) 862-2285

Authorized Official

Name
DR. JERRY HENRY GRANT, M.D.
Title
OWNER/PHYSICIAN
Phone
(870) 862-2285

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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