Grant N Ko MD PC
NPI #1750806865 in Santa Rosa, California
Provider Information
- NPI Number
- 1750806865
- Entity Type
- Organization
- Organization Name
- Grant N Ko MD PC
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Aug 9, 2017
- Last Updated
- Aug 9, 2017
Practice Location
- Address
- 1287 FULTON RD
- City
- Santa Rosa
- State
- California
- ZIP Code
- 95401-4923
- Phone
- (707) 800-7700
Authorized Official
- Name
- GRANT NORMAN KO, MD
- Title
- OWNER
- Phone
- (707) 800-7700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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