Megan C Grande, P.A.

NPI #1619267358 in N Las Vegas, Nevada

Provider Information

NPI Number: 1619267358
Entity Type: Individual
Name: Megan C Grande, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Apr 14, 2011
Last Updated: Apr 14, 2011

Practice Location

Address: 1409 E LAKE MEAD BLVD
City: N Las Vegas
State: Nevada
ZIP Code: 89030-7120
Phone: (702) 657-5512

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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