Individual provider · Type 1 NPI

Peter Percy Grandaw, MD

Specialist · Redding, CA

NPI number 1013900737 Active

Practice location

1892 Buenaventura Blvd
Redding, CA 96001-3761

Fax (530) 243-9378

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XG79712 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1013900737

Peter Percy Grandaw, MD's National Provider Identifier is 1013900737, issued on Aug 28, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Redding, CA. The record was last updated on Dec 10, 2008.