NPI 1043313323

John Richard Gralow, PAC

Practitioner Physician Assistant Fort Riley, KS

Practice location

Address: 600 Caisson Hill Road Irwin Army Community Hospital, Fort Riley, KS 66442-5037
Phone: (785) 239-7155
Fax: (785) 239-7364

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1043313323
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Sep 2006
Record last updated: 8 Jul 2007

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.