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Richard Martin Grandquist III, PA-C
Medical Physician Assistant in Colton, California
NPI 1578962049

Richard Martin Grandquist III is a Medical Physician Assistant based in Mountain View, CA and is specialized in Medical. Richard Martin Grandquist III practices in Colton, CA and has the professional credentials of PA-C. The NPI Number for Richard Martin Grandquist III is 1578962049 and holds a License No. 51840 (California).

The current practice location address for Richard Martin Grandquist III is 400 N Pepper Ave Ste 107, Colton, CA and can be reached out via phone at 650-996-8240.

Location: 400 N Pepper Ave Ste 107, Colton, CA, 94040-3222
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578962049
Provider Name
Richard Martin Grandquist III
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
400 N Pepper Ave Ste 107, Colton, CA, 94040-3222
Phone Number
650-996-8240
Fax Number
Provider Enumeration Date
08/20/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
400 N Pepper Ave Ste 107
City
Colton
State
California
Zip
92324-1801
Phone Number
650-996-8240
Fax Number
person
Provider Business Mailing Address Details
Address
400 N Pepper Ave Ste 107
City
Colton
State
California
Zip
92324-1801
Phone Number
650-996-8240
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
51840 (California)
Definition
Definition to come...
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