ETHAN D GRANGER

ALBUQUERQUE, NM
NPI1457048324
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NM  PA2024-0038)
Enumeration Date2023-04-20
Last Update Date2024-07-19
Business Address
ETHAN D GRANGER
1 UNIVERSITY OF NEW MEXICO MSC11 6025
ALBUQUERQUE, NM 87131-0001
Phone number: 505-272-5062
Mailing Address
ETHAN D GRANGER
1 UNIVERSITY OF NEW MEXICO MSC11 6025
ALBUQUERQUE, NM 87131-0001
Phone number: 505-272-5062
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