RYAN GRANGE, P.A
Physician Assistant - Medical
Active
Individual
NPI: 1295194629
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | PA 2016-0016 (NM) |
Frequently Asked Questions
NPI 1295194629 is the National Provider Identifier for RYAN GRANGE, P.A, a Physician Assistant - Medical provider located in Edgewood, NM. This NPI was enumerated on February 12, 2016.
RYAN GRANGE, P.A practices at 1851 OLD HIGHWAY 66 UNIT 1, Edgewood, NM 87015.
Quick Facts
- NPI
- 1295194629
- Type
- Individual
- Enumerated
- Feb 12, 2016
- Last Updated
- Apr 14, 2016
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