NPI 1083702203

Jeffrey S. Grant, M.D., P.C.

Organisation Physical Medicine & Rehabilitation Physician Farmington, NM

Practice location

Address: 608 E Comanche St, Farmington, NM 87401-6815
Phone: (505) 325-0072
Fax: (505) 327-1739
Mailing address: PO Box 677, Farmington, NM 87499-0677

Authorised official

Name: Jeffrey S Grant
Title: Ceo
Phone: (505) 325-0072

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 99-216 (NM)

Other Physical Medicine & Rehabilitation providers in New Mexico →

Registry record

NPI: 1083702203
Entity type: Organization
NPI issued: 11 Oct 2006
Record last updated: 13 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.