Organization · Type 2 NPI
Grant Clinic LLC
Addiction Medicine (Anesthesiology) Physician · Payson, AZ
NPI number
1528490968
Active
Practice location
708 S Coeur D Alene Ln, Suite D
Payson, AZ 85541-5662
Fax (928) 468-1339
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Anesthesiology) Physician Primary | 207LA0401X | 1609 (AZ) |
Addiction Medicine (Anesthesiology) Physician: An anesthesiologist who specializes in the diagnosis and treatment of addictions.
2 other providers at this address
About NPI 1528490968
Grant Clinic LLC's National Provider Identifier is 1528490968, issued on Aug 8, 2013. The primary taxonomy on file is Addiction Medicine (Anesthesiology) Physician (207LA0401X), and the practice location is in Payson, AZ. The record was last updated on Aug 8, 2013.