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NPI Code Detail

MEDICARE: MARGARET GRANT M.D.

MEDICARE:   MARGARET  GRANT  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
12084P0800XPsychiatry PhysicianMD-12594HI
22084P0800XPsychiatry Physician16680NV

General Provider Information

NPI Number : 1366564387
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET GRANT M.D.
Provider Business Mailing Address
First Line : PO BOX 452005
Second Line :
City : LAS VEGAS
State : NV
Zip : 89154-2005
Country : US
Telephone Number : 702-895-3627
Fax Number :
Provider Business Practice Location Address
First Line : 4505 S MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89154-9900
Country : US
Telephone Number : 702-895-3627
Fax Number : 808-236-8647
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2007
Last Update Date : 09/01/2021

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Directions to “ MARGARET GRANT M.D.” Practice Location

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