SHO GRANT

GLENDALE, AZ
NPI1245785732
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2016-08-24
Last Update Date2016-09-08
Business Address
-- SHO GRANT
5750 W THUNDERBIRD RD STE B200
GLENDALE, AZ 85306-4664
Phone number: 602-375-1700
Mailing Address
-- SHO GRANT
5750 W THUNDERBIRD RD SUITE B200
GLENDALE, AZ 85306-4660
Phone number: 602-375-1700
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