Clyde Grady

NPI #1851484075 in Knoxville, Illinois

Provider Information

NPI Number: 1851484075
Entity Type: Individual
Name: Clyde Grady
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Enumeration Date: Oct 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 104 S BROAD ST
City: Knoxville
State: Illinois
ZIP Code: 61448-1339
Phone: (309) 289-2335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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