Organization · Type 2 NPI

Jerry H Grant, M.d., P.a.

Clinic/Center · El Dorado, AR

NPI number 1366745705 Active

Practice location

104 E Grove St
El Dorado, AR 71730

Call (870) 862-2285 Map

Fax (870) 862-2289

Other practice locations

  • 104 E Grove St, El Dorado, AR 71730 · (870) 862-2285

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XE-0952 (AR)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1366745705

Jerry H Grant, M.d., P.a.'s National Provider Identifier is 1366745705, issued on Dec 7, 2010. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in El Dorado, AR. The record was last updated on Aug 7, 2019.