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Jerry H Grant, M.d., P.a.
Clinic/Center in El Dorado, Arkansas
NPI 1366745705

Jerry H Grant, M.d., P.a. is a Clinic/Center based in El Dorado, AR. Jerry H Grant, M.d., P.a. practices in El Dorado, AR. The NPI Number for Jerry H Grant, M.d., P.a. is 1366745705 and holds a License No. E-0952 (Arkansas).

The current practice location address for Jerry H Grant, M.d., P.a. is 104 E Grove St, El Dorado, AR and can be reached out via phone at 870-862-2285 and via fax at 870-862-2289. You can also correspond with Jerry H Grant, M.d., P.a. through the mailing address at 104 E GROVE ST, EL DORADO, AR - 71730-4607 (mailing address contact number: 870-862-2285).

Location: 104 E Grove St, El Dorado, AR, 71730-4607
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366745705
Provider Name
Jerry H Grant, M.d., P.a.
Credential
Provider Entity Type
Organization
Address
104 E Grove St, El Dorado, AR, 71730-4607
Phone Number
870-862-2285
Fax Number
870-862-2289
Provider Enumeration Date
12/07/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
130237001 05 AR
080128979 01 AR RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
104 E Grove St
City
El Dorado
State
Arkansas
Zip
71730
Phone Number
870-862-2285
Fax Number
870-862-2289
person
Provider Business Mailing Address Details
Address
104 E Grove St
City
El Dorado
State
Arkansas
Zip
71730-4607
Phone Number
870-862-2285
Fax Number
870-862-2289
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
E-0952 (Arkansas)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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