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Peter Percy Grandaw, MD
Specialist in Redding, California
NPI 1013900737

Peter Percy Grandaw is a Specialist based in Redding, CA. Peter Percy Grandaw practices in Redding, CA and has the professional credentials of MD. The NPI Number for Peter Percy Grandaw is 1013900737 and holds a License No. G79712 (California).

The current practice location address for Peter Percy Grandaw is 1892 Buenaventura Blvd, Redding, CA and can be reached out via phone at 530-243-9478 and via fax at 530-243-9378.

Location: 1892 Buenaventura Blvd, Redding, CA, 96001-3761
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013900737
Provider Name
Peter Percy Grandaw
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1892 Buenaventura Blvd, Redding, CA, 96001-3761
Phone Number
530-243-9478
Fax Number
530-243-9378
Provider Enumeration Date
08/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G797120 05 CA
institution
Provider Business Practice Location Address Details
Address
1892 Buenaventura Blvd
City
Redding
State
California
Zip
96001-3761
Phone Number
530-243-9478
Fax Number
530-243-9378
person
Provider Business Mailing Address Details
Address
1892 Buenaventura Blvd
City
Redding
State
California
Zip
96001-3761
Phone Number
530-243-9478
Fax Number
530-243-9378
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G79712 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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