Whalio Doctors

NPI 1912064577

Jonathan R Grant, MD

Practitioner Otolaryngology/Facial Plastic Surgery Physician Mount Vernon, WA

Practice location

Address
111 S 13th St, Mount Vernon, WA 98274-4105
Phone
(360) 336-2178
Fax
(360) 336-1674

Registered specialties (6)

Otolaryngology/Facial Plastic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207YX0905X Licence MD60187241 (WA)
Otolaryngology Physician
Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 47898-020 (WI)
Otolaryngology Physician
Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 242010 (MA)
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Allopathic & Osteopathic Physicians Taxonomy 2082S0099X Licence MD60187241 (WA)
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence MD60187241 (WA)
Plastic and Reconstructive Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 2086S0122X Licence MD60187241 (WA)

Registry record

NPI
1912064577
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 Jan 2007
Record last updated
15 Mar 2012

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.