Karl Daniel Granroth, PA-C

NPI #1639294739 in Winslow, Arizona

Provider Information

NPI Number: 1639294739
Entity Type: Individual
Name: Karl Daniel Granroth, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 20, 2007
Last Updated: Mar 17, 2009

Practice Location

Address: 620 LEE ST
City: Winslow
State: Arizona
ZIP Code: 86047-2435
Phone: (928) 289-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Surgical — Surgical	363AS0400X

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