BRIAN W GRANTHAM

FORT LEONARD WOOD, MO
NPI1437356326
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: AR  E998)
Additional Taxonomies207Q00000X Family Medicine
(Licence: AR  E998)
207P00000X Emergency Medicine
(Licence: MO  2017026692)
207QS0010X Family Medicine, Sports Medicine
(Licence: AR  E998)
2083S0010X Preventive Medicine, Sports Medicine
(Licence: AR  E998)
208M00000X Hospitalist
(Licence: AR  E998)
207QG0300X Family Medicine, Geriatric Medicine
(Licence: AR  E998)
208D00000X General Practice
(Licence: AR  E998)
Enumeration Date2007-07-02
Last Update Date2026-05-11
Business Address
Dr. BRIAN W GRANTHAM M.D.
4234 ILLINOIS AVE
FORT LEONARD WOOD, MO 65473-9098
Phone number: 573-596-0456
Mailing Address
Dr. BRIAN W GRANTHAM M.D.
4234 ILLINOIS AVE
FORT LEONARD WOOD, MO 65473-9098
Phone number: 573-596-0456