Karl Daniel Granroth in Winslow - Physician Assistant
Karl Daniel Granroth - NPI 1639294739
Karl Daniel Granroth is a Physician Assistant in Winslow, Arizona. Karl Daniel Granroth practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Karl Daniel Granroth is 1639294739. The last update date is 2009-03-17.
Karl Daniel Granroth's current location address is 620 Lee St, Winslow, Arizona. You can contact this provider via phone number 9282892000. The mailing address for Karl Daniel Granroth is 620 Lee St, Winslow, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Karl Daniel Granroth |
|---|---|
| Address | 620 Lee St, Winslow, Arizona |
| Phone Number | 9282892000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1639294739 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2009-03-17 |
Provider Mailing Address Detail
| Address | 620 Lee St |
|---|---|
| City | Winslow |
| State | Arizona (AZ) |
| Post Code | 860472435 |
| Phone Number | 9282892000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 3602 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code assigned to Karl Daniel Granroth by the Centers for Medicare & Medicaid Services?
The Karl Daniel Granroth has been issued the NPI (National Provider Identifier) 1639294739, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Karl Daniel Granroth's physical address?
The Karl Daniel Granroth is physically located at 620 Lee St, in the city of Winslow, AZ, with the postal code 860472435.
What is Karl Daniel Granroth's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Karl Daniel Granroth is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Karl Daniel Granroth receive the assignment of its 1639294739 from the Centers for Medicare & Medicaid Services?
The Karl Daniel Granroth was issued its 1639294739 by the Centers for Medicare & Medicaid Services on 2007-03-20.
When was the information regarding Karl Daniel Granroth, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Karl Daniel Granroth, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-03-17.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA