Grant Clinic LLC

NPI #1528490968 in Payson, Arizona

Provider Information

NPI Number
1528490968
Entity Type
Organization
Organization Name
Grant Clinic LLC
Primary Specialty
Anesthesiology - Addiction Medicine
Enumeration Date
Aug 8, 2013
Last Updated
Aug 8, 2013

Practice Location

Address
708 S COEUR D ALENE LN
Address 2
SUITE D
City
Payson
State
Arizona
ZIP Code
85541-5662
Phone
(925) 468-1337

Authorized Official

Name
DR. MARC B GRANT, D.O.
Title
PRESIDENT
Phone
(928) 468-1337

Specialties & Taxonomy Codes

Specialty
Anesthesiology - Addiction MedicineAddiction Medicine

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