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NPI Code Detail

MEDICARE: DR. NATHAN D GRANGER MD

MEDICARE: DR. NATHAN D GRANGER MD
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
1207Q00000XFamily Medicine PhysicianR3J97MO

General Provider Information

NPI Number : 1144288002
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NATHAN D GRANGER MD
Provider Business Mailing Address
First Line : 5501 NW 62ND TER STE 100
Second Line :
City : KANSAS CITY
State : MO
Zip : 64151-2412
Country : US
Telephone Number : 816-842-4440
Fax Number : 816-842-1974
Provider Business Practice Location Address
First Line : 5501 NW 62ND TER STE 100
Second Line :
City : KANSAS CITY
State : MO
Zip : 64151-2412
Country : US
Telephone Number : 816-842-4440
Fax Number : 816-842-1974
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2006
Last Update Date : 10/06/2022

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Directions to “ DR. NATHAN D GRANGER MD” Practice Location

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