Peter Percy Grandaw M.D.

NPI 1013900737 - Specialist - 174400000X

NPI Details
NPI 1013900737
Gender Male
Enumeration Date 08/28/2005
Last Updated 12/10/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
1892 BUENAVENTURA BLVD
REDDING CA, 96001-3761, US
Phone (530) 243-9478
Fax (530) 243-9378
Business Location
1892 BUENAVENTURA BLVD
REDDING CA, 96001-3761, US
Phone (530) 243-9478
Fax (530) 243-9378
Toxanomy
Taxonomy Code 174400000X
License State California
License Number G79712
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According to our database, Peter Percy Grandaw M.D. NPI is 1013900737, taxonomy code is 174400000X and license number is G79712, license state is located at California. Peter Percy Grandaw M.D. physically located at 1892 Buenaventura Blvd, Redding CA, 96001-3761. NPI Number Peter Percy Grandaw M.D. has the Individual type.

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1013900737 NPI number is provided on an as is basis without warranty of any kind. 1013900737 is maintained by the National Plan & Provider Enumeration System. The contents of Peter Percy Grandaw M.D. are for informational purposes only.