Individual provider · Type 1 NPI

Stephanie A. Granvall, P.A.-C

Surgical Physician Assistant · Issaquah, WA

NPI number 1861477960 Active

Practice location

751 NE Blakely Dr, Suite 4020
Issaquah, WA 98029-6201

Call (425) 313-7124 Map

Fax (425) 313-7057

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA60321925 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1861477960

Stephanie A. Granvall, P.A.-C's National Provider Identifier is 1861477960, issued on Dec 12, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Issaquah, WA. The record was last updated on May 25, 2021.