Richard Locke Grant M.D.

NPI 1174623433 - Psychiatry & Neurology - 2084F0202X

NPI Details
NPI 1174623433
Gender Male
Enumeration Date 09/25/2006
Last Updated 01/19/2009
Entity Type Individual
Active Over 10 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
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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.

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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.