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DANIEL GRANT MD

Physicians Internal Medicine Rheumatology

Provider NPI: 1114377207

Provider Information:
 DANIEL  GRANT MD
Gender: M
Not Sole Proprietor

Practice Location:
1 HOSPITAL DR DC043.00 COLUMBIA, MO 65212-1000 US
Tel: 573-882-8788  Fax: 573-882-3024

Business Mailing Address:
1 HOSPITAL DR DC043.00 COLUMBIA, MO 65212-1000 US
Tel: 573-884-1606  Fax: 573-884-5690

NPI Information:
NPI: 1114377207
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207RR0500XPhysicians
Internal Medicine
Rheumatology
MO2019016713

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 207RR0500X

Type:

Classification:



Definition:



MEDICAL JOBS MO - Page 1

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