GRANT NEEDHAM

WASHINGTON, UT
NPI1699870899
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  284995-1206)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: UT  284995-1206)
Enumeration Date2006-09-13
Last Update Date2026-07-07
Business Address
GRANT NEEDHAM PA-C
1107 N CASITAS HILL LOOP
WASHINGTON, UT 84780-8922
Phone number: 435-632-7681
Mailing Address
GRANT NEEDHAM PA-C
1107 N CASITAS HILL LOOP
WASHINGTON, UT 84780-8922
Phone number: 435-632-7681