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NPI Code Detail

MEDICARE: CHRISTOPHER GRANTHAM M.D.

MEDICARE: CHRISTOPHER GRANTHAM M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician20235AZ

General Provider Information

NPI Number : 1598761363
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER GRANTHAM M.D.
Provider Business Mailing Address
First Line : 645 E MISSOURI AVE
Second Line : STE 300
City : PHOENIX
State : AZ
Zip : 85012-1351
Country : US
Telephone Number : 602-262-8900
Fax Number : 602-262-8890
Provider Business Practice Location Address
First Line : 1551 E TANGERINE RD
Second Line :
City : ORO VALLEY
State : AZ
Zip : 85755-6213
Country : US
Telephone Number : 520-901-3559
Fax Number : 520-901-3642
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2005
Last Update Date : 12/16/2020

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Directions to “ CHRISTOPHER GRANTHAM M.D.” Practice Location

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