GRANT INTERNAL MEDICINE PC
Organization (NPI-2)
Active
Specialist
Provider Information
- NPI Number
1518149012- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2908 FOOTHILL BLVD STE B, ROCK SPRINGS, WY, 829014956
- Phone
- (307) 362-9041
- Fax
- (307) 362-9461
Specialties & Taxonomies
Specialist
Primary License: WY #6367A