ONEIL GRANT

PHOENIX, AZ
NPI1629572995
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2080P0204X Pediatrics, Pediatric Emergency Medicine
(Licence: GA  100712)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-03-21
Last Update Date2024-06-26
Business Address
ONEIL GRANT DO
1919 E THOMAS RD
PHOENIX, AZ 85016-7710
Phone number: 602-933-1000
Mailing Address
ONEIL GRANT DO
3777 LEDGEMONT DR
SUWANEE, GA 30024-8667
Phone number:
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