Grant T Fankhauser, M.D. Valid NPI
Individual provider · Vascular Surgery Physician · Peoria, AZ
- NPI
- 1831121532
- Type
- Individual (Type 1)
- Primary specialty
- Vascular Surgery Physician (Surgery)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 2086S0129X
- License number
- 37503 (AZ)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-07-06
- Last updated
- 2024-08-09
Practice location
9192 W Union Hills Dr
Peoria, AZ 85382-8208
(602) 374-4101