The Grant Clinic, Llc

NPI 1235466996 - Anesthesiology - 207LA0401X

NPI Details
NPI 1235466996
Enumeration Date 11/17/2009
Last Updated 11/17/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name MARC MARC
Position PRESIDENT
Phone (602) 327-0184
Fax (602) 358-8063
Practice Location
14640 N TATUM BLVD STE 7
PHOENIX AZ, 85032-4824, US
Phone (602) 327-0184
Fax (602) 358-8063
Business Location
PO BOX 45379
PHOENIX AZ, 85064-5379, US
Phone (602) 327-0184
Fax (602) 358-8063
Toxanomy
Taxonomy Code 207LA0401X
License State Arizona
License Number 1609
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According to our database, The Grant Clinic, Llc NPI is 1235466996, taxonomy code is 207LA0401X and license number is 1609, license state is located at Arizona. The Grant Clinic, Llc physically located at 14640 N Tatum Blvd Ste 7, Phoenix AZ, 85032-4824. NPI Number 1033115704 has the healthcare provider type.

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1235466996 NPI number is provided on an as is basis without warranty of any kind. 1235466996 is maintained by the National Plan & Provider Enumeration System. The contents of The Grant Clinic, Llc are for informational purposes only.