Whalio Doctors

NPI 1073517926

Walter G Grundy, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Huntsville, AL

Practice location

Address
2904 Westcorp Blvd SW Suite 107/108, Huntsville, AL 35805-6437
Phone
(256) 533-1480
Mailing address
2904 Westcorp Blvd SW Suite 108, Huntsville, AL 35805-6437

Registered specialties (2)

Anatomic Pathology & Clinical Pathology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 9204 (AL)
Anatomic Pathology & Clinical Pathology Physician
Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 10857 (OK)

Registry record

NPI
1073517926
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Jun 2005
Record last updated
18 Jul 2008

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.