Individual provider · Type 1 NPI
John G. Grantham, MD
Diagnostic Radiology Physician · Boulder, CO
NPI number
1992789614
Active
Practice location
2750 Broadway St
Boulder, CO 80304-3573
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 26497 (CO) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1992789614
John G. Grantham, MD's National Provider Identifier is 1992789614, issued on Dec 6, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Boulder, CO. The record was last updated on Oct 31, 2012.