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DAVID G GRANT MD

Physicians Otolaryngology

Provider NPI: 1174839864

Provider Information:
 DAVID G GRANT MD
Gender: M
Not Sole Proprietor

Practice Location:
7003 CHAD COLLEY BLVD  BARLING, AR 72923-3000 US
Tel: 479-431-3500  Fax: --

Business Mailing Address:
7003 CHAD COLLEY BLVD  BARLING, AR 72923-3000 US
Tel: 479-431-3500  Fax: --

NPI Information:
NPI: 1174839864
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Y00000XPhysicians
Otolaryngology
ARE-11782
N207Y00000XPhysicians
Otolaryngology
FLMFC1664

Other Provider Identifiers:

IssuerNumberStateType
002615700FL05



American Medical Association 2012 taxonomy code information

Code: 207Y00000X

Type:

Classification:



Definition:



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