Individual provider · Type 1 NPI
Dale Courtney Grantham, MD
Emergency Medical Services (Emergency Medicine) Physician · Rio Rancho, NM
Practice location
1110 Blue Sage Rd NE
Rio Rancho, NM 87144-5763
Mailing address
3129 N 109th Ter
Kansas City, KS 66109-8901
Other practice locations
- 3129 N 109th Ter, Kansas City, KS 66109-8901 · (509) 942-4793
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD00041473 (WA) |
| Emergency Medicine Physician | 207P00000X | MD2012-0049193 (NM) |
| Emergency Medical Services (Emergency Medicine) Physician Primary | 207PE0004X | MD2012-0049193 (NM) |
Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
About NPI 1932140456
Dale Courtney Grantham, MD's National Provider Identifier is 1932140456, issued on Jun 8, 2006. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Rio Rancho, NM. The record was last updated on May 30, 2023.