Individual provider · Type 1 NPI
Brian Edward Grace, PA
Surgical Physician Assistant · Las Vegas, NV
NPI number
1487746459
Active
Practice location
5188 Blissful Valley Cir
Las Vegas, NV 89149-5262
Fax (800) 886-2862
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA727 (NV) |
Surgical Physician Assistant: Definition to come...
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About NPI 1487746459
Brian Edward Grace, PA's National Provider Identifier is 1487746459, issued on Sep 28, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Las Vegas, NV. The record was last updated on Dec 11, 2018.