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
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | G79712 (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.