CHRISTIAN L GRANDELL

LAKE HAVASU CITY, AZ
NPI1588603542
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: AZ  2719)
Additional Taxonomies363AS0400X Physician Assistant, Surgical
(Licence: AZ  2719)
363A00000X Physician Assistant
(Licence: AZ  2719)
Enumeration Date2006-06-05
Last Update Date2025-10-14
Business Address
CHRISTIAN L GRANDELL PAC
309 LAKE HAVASU AVE S
LAKE HAVASU CITY, AZ 86403-9309
Phone number: 928-453-1970
Mailing Address
CHRISTIAN L GRANDELL PAC
2035 MESQUITE AVE
LAKE HAVASU CITY, AZ 86403-5894
Phone number: 928-208-4598