Philip Wayne Grant, MD Valid NPI

Individual provider · Diagnostic Radiology Physician · Derry, NH

NPI

1134107527

Type

Individual (Type 1)

Primary specialty

Diagnostic Radiology Physician (Radiology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2085R0202X

License number

8056 (NH)

Sex

Male

Sole proprietor

No

Enumerated

2006-01-05

Last updated

2022-03-28