John Richard Gralow in Fort Riley - Physician Assistant

John Richard Gralow - NPI 1043313323

John Richard Gralow is a Physician Assistant in Fort Riley, Kansas. John Richard Gralow practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for John Richard Gralow is 1043313323. The last update date is 2007-07-08.

John Richard Gralow's current location address is 600 Caisson Hill Road, Fort Riley, Kansas. You can contact this provider via phone number 7852397155 and fax number 7852397364. The mailing address for John Richard Gralow is 600 Caisson Hill Road, Fort Riley, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name John Richard Gralow
Address 600 Caisson Hill Road, Fort Riley, Kansas
Phone Number 7852397155
Fax Number 7852397364
Sole Proprietor N
Credentials PAC

NPI Number Detail

NPI Number 1043313323
Provider Enumeration Date 2006-09-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 600 Caisson Hill Road
City Fort Riley
State Kansas (KS)
Post Code 664425037
Phone Number 7852397155
Fax Number 7852397364

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
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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FAQs about John Richard Gralow

What is the unique identifier code issued to John Richard Gralow by the Centers for Medicare & Medicaid Services?

The John Richard Gralow has been assigned the NPI (National Provider Identifier) 1043313323. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where John Richard Gralow is physically located?

The John Richard Gralow is physically situated at the following address: 600 Caisson Hill Road, Fort Riley, KS, 664425037.

What is the John Richard Gralow's area of specialization and corresponding taxonomy classification?

The John Richard Gralow's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.

On what date did John Richard Gralow receive its 1043313323 assignment from the Centers for Medicare & Medicaid Services?

The John Richard Gralow was assigned its 1043313323 on 2006-09-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding John Richard Gralow most recently updated?

The details pertaining to the John Richard Gralow, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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