Eva M Grant D.O.

NPI 1275817512 - General Practice - 208D00000X

NPI Details
NPI 1275817512
Gender Female
Enumeration Date 10/05/2011
Last Updated 04/21/2016
Entity Type Individual
Active Over 5 years ago
Practice Location
2630 CENTRAL AVE
EIELSON AFB AK, 99702-2301, US
Phone (907) 377-1847
Fax (907) 377-1969
Business Location
2630 CENTRAL AVE
EIELSON AFB AK, 99702-2301, US
Phone
Fax
Toxanomy
Taxonomy Code 208D00000X
License State Florida
License Number U02719
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According to our database, Eva M Grant D.O. NPI is 1275817512, taxonomy code is 208D00000X and license number is U02719, license state is located at Florida. Eva M Grant D.O. physically located at 2630 Central Ave, Eielson Afb AK, 99702-2301. NPI Number Eva M Grant D.O. has the Individual type.

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1275817512 NPI number is provided on an as is basis without warranty of any kind. 1275817512 is maintained by the National Plan & Provider Enumeration System. The contents of Eva M Grant D.O. are for informational purposes only.