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NPI Verification

National Provider Identifier: 1487090288

Jack W Grinnan, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

All Specialties (2)

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Urology

Code: 208800000X

Primary

Practice Address

2530 E SOUTHERN AVE

MESA, AZ 852045411

Phone: 480-834-4188

NPI Enumeration Date

May 20, 2013

NPI Number

1487090288

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry