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1417307059
MATTHEW TYLER GRANT
SAINT LOUIS, MO
NPI
1417307059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: MO 2018015583)
Enumeration Date
2016-06-14
Last Update Date
2019-10-30
Business Address
Dr. MATTHEW TYLER GRANT M.D.
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110-1003
Phone number: 314-362-8028
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Mailing Address
Dr. MATTHEW TYLER GRANT M.D.
660 S EUCLID AVE 9901 WOHL HOSPITAL CAMPUS BOX 8109
SAINT LOUIS, MO 63110-1010
Phone number: 314-362-8028
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