Individual provider · Type 1 NPI
Leroy Grant, PHYSICIANS ASSISTANT
Medical Physician Assistant · Silver Spring, MD
NPI number
1831445402
Active
Practice location
12215 Dalewood Dr
Silver Spring, MD 20902-1119
Fax (301) 946-0806
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA165 (DC) |
Medical Physician Assistant: Definition to come...
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About NPI 1831445402
Leroy Grant, PHYSICIANS ASSISTANT's National Provider Identifier is 1831445402, issued on Jul 31, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Silver Spring, MD. The record was last updated on Jul 31, 2012.