NPI 1194115626

Matthew Grant, MD

Practitioner Diagnostic Radiology Physician Apo, AE

Practice location

Address: Unit 33100, Apo, AE 09180-3100
Phone: (314) 590-7632

Registered specialties (2)

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 29496 (NE)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1194115626
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Feb 2015
Record last updated: 20 Sep 2022

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.