NPI Details | |
---|---|
NPI | 1174623433 |
Gender | Male |
Enumeration Date | 09/25/2006 |
Last Updated | 01/19/2009 |
Entity Type | Individual |
Active | Over 11 years ago |
Practice Location | |
---|---|
709 TOWNES COURT PEORIA IL, 61615-1387, US |
|
Phone | (309) 692-5550 |
Fax | (309) 692-5553 |
Business Location | |
---|---|
709 TOWNES COURT PEORIA IL, 61615-1387, US |
|
Phone | (309) 692-5550 |
Fax | (309) 692-5553 |
Toxanomy | |
---|---|
Taxonomy Code | 2084F0202X |
License State | Illinois |
License Number | 036-066475 |
Remove 1174623433 NPI Number |
According to our database, Richard Locke Grant M.D. NPI is 1174623433, taxonomy code is 2084F0202X and license number is 036-066475, license state is located at Illinois. Richard Locke Grant M.D. physically located at 709 Townes Court, Peoria IL, 61615-1387. NPI Number Richard Locke Grant M.D. has the Individual type.
Sponsored links
1174623433 NPI number is provided on an as is basis without warranty of any kind. 1174623433 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Locke Grant M.D. are for informational purposes only.
Sponsored links