DR. Bradley P Grant, M.D.

NPI #1528066073 in West Melbourne, Florida

Provider Information

NPI Number: 1528066073
Entity Type: Individual
Name: DR. Bradley P Grant, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: M.D.
Enumeration Date: Jul 8, 2005
Last Updated: Jun 6, 2008

Practice Location

Address: 1480 S WICKHAM RD
City: West Melbourne
State: Florida
ZIP Code: 32904-2447
Phone: (321) 724-2188

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary
Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery	207ND0101X
Dermatology - Procedural Dermatology — Procedural Dermatology	207NS0135X

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Organizations

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