person
Jack W Grinnan, MD
Urology Physician in Phoenix, Arizona
NPI 1487090288

Jack W Grinnan is a Urology Physician based in Phoenix, AZ. Jack W Grinnan practices in Phoenix, AZ and has the professional credentials of MD. The NPI Number for Jack W Grinnan is 1487090288 and holds a License No. (Arizona).

The current practice location address for Jack W Grinnan is 19841 N 27Th Ave Ste 201, Phoenix, AZ and can be reached out via phone at 623-582-6420 and via fax at 623-582-6720.

Location: 19841 N 27Th Ave Ste 201, Phoenix, AZ, 85012-3100
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Provider Profile Details
NPI Number
1487090288
Provider Name
Jack W Grinnan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
19841 N 27Th Ave Ste 201, Phoenix, AZ, 85012-3100
Phone Number
623-582-6420
Fax Number
623-582-6720
Provider Enumeration Date
05/20/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
372496 05 AZ
institution
Provider Business Practice Location Address Details
Address
19841 N 27Th Ave Ste 201
City
State
Zip
85027-4005
Phone Number
623-582-6420
Fax Number
623-582-6720
person
Provider Business Mailing Address Details
Address
19841 N 27Th Ave Ste 201
City
State
Zip
85027-4005
Phone Number
623-582-6420
Fax Number
623-582-6720
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
License No.
55776 (Arizona)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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