DR. Colin Michael Grant, D.O.

NPI #1790912368 in Lake Ridge, Virginia

Provider Information

NPI Number: 1790912368
Entity Type: Individual
Name: DR. Colin Michael Grant, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Jun 22, 2009
Last Updated: Jan 18, 2022

Practice Location

Address: 2199 OLD BRIDGE RD
City: Lake Ridge
State: Virginia
ZIP Code: 22192-2911
Phone: (703) 357-9707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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