| NPI | 1467834150 |
|---|---|
| Former Name | BRANT GRANGER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO188933) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP60769980) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2026-02-04 |