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Jack W Grinnan, MD
Urology Physician in Mesa, Arizona
NPI 1487090288

Jack W Grinnan is a Urology Physician based in Owings Mills, AZ. Jack W Grinnan practices in Mesa, 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 2530 E Southern Ave, Mesa, AZ and can be reached out via phone at 480-834-4188 and via fax at 480-834-6181.

Location: 2530 E Southern Ave, Mesa, AZ, 21117-5437
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487090288
Provider Name
Jack W Grinnan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2530 E Southern Ave, Mesa, AZ, 21117-5437
Phone Number
480-834-4188
Fax Number
480-834-6181
Provider Enumeration Date
05/20/2013
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
372496 05 AZ
institution
Provider Business Practice Location Address Details
Address
2530 E Southern Ave
City
Mesa
State
Arizona
Zip
85204-5411
Phone Number
480-834-4188
Fax Number
480-834-6181
person
Provider Business Mailing Address Details
Address
2530 E Southern Ave
City
Mesa
State
Arizona
Zip
85204-5411
Phone Number
480-834-4188
Fax Number
480-834-6181
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
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
390200000X
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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