MCKENNA GRANT
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1144027780- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 585 E RIVERSIDE DR STE 201, SAINT GEORGE, UT, 847907277
- Phone
- (435) 216-7032
Specialties & Taxonomies
Physician Assistant
Primary
Ophthalmology, Retina Specialist
License: UT #14237199-1206