person
Dr. Jacob Carlos Earl Grant, MD
Diagnostic Radiology Physician in Saint Louis, Missouri
NPI 1639639669

Jacob Carlos Earl Grant is a Diagnostic Radiology Physician based in Saint Louis, MO and is specialized in Diagnostic Radiology. Jacob Carlos Earl Grant practices in Saint Louis, MO and has the professional credentials of MD. The NPI Number for Jacob Carlos Earl Grant is 1639639669 and holds a License No. 2021025318 (Missouri).

The current practice location address for Jacob Carlos Earl Grant is 510 S Kingshighway Blvd # 8131, Saint Louis, MO and can be reached out via phone at 219-669-6957.

Location: 510 S Kingshighway Blvd # 8131, Saint Louis, MO, 63110-1016
person
Provider Profile Details
NPI Number
1639639669
Provider Name
Jacob Carlos Earl Grant
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
510 S Kingshighway Blvd # 8131, Saint Louis, MO, 63110-1016
Phone Number
219-669-6957
Fax Number
Provider Enumeration Date
03/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
510 S Kingshighway Blvd # 8131
City
State
Zip
63110-1016
Phone Number
219-669-6957
Fax Number
person
Provider Business Mailing Address Details
Address
510 S Kingshighway Blvd # 8131
City
State
Zip
63110-1016
Phone Number
219-669-6957
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
2021025318 (Missouri)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
License No.
2021025318 (Missouri)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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