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SHO GRANT
Physician Assistant
NPI: 1245785732IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2016
Contact & Hours
- Address
- 5750 W THUNDERBIRD RD STE B200
GLENDALE, AZ 85306 - Phone
- (602) 375-1700
Quick Facts
- NPI
- 1245785732
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 10
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