person
Stephanie A. Granvall, PA-C
Surgical Physician Assistant in Issaquah, Washington
NPI 1861477960

Stephanie A. Granvall is a Surgical Physician Assistant based in Salt Lake City, WA and is specialized in Surgical. Stephanie A. Granvall practices in Issaquah, WA and has the professional credentials of PA-C. The NPI Number for Stephanie A. Granvall is 1861477960 and holds a License No. PA60321925 (Washington).

The current practice location address for Stephanie A. Granvall is 751 Ne Blakely Dr, Issaquah, WA and can be reached out via phone at 425-313-7124 and via fax at 425-313-7057. You can also correspond with Stephanie A. Granvall through the mailing address at PO BOX 25608, SALT LAKE CITY, UT - 84125-0608 (mailing address contact number: 206-320-4476).

Location: 751 Ne Blakely Dr, Issaquah, WA, 84125-0608
person
Provider Profile Details
NPI Number
1861477960
Provider Name
Stephanie A. Granvall
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
751 Ne Blakely Dr, Issaquah, WA, 84125-0608
Phone Number
425-313-7124
Fax Number
425-313-7057
Provider Enumeration Date
12/12/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
751 Ne Blakely Dr
City
State
Zip
98029-6201
Phone Number
425-313-7124
Fax Number
425-313-7057
person
Provider Business Mailing Address Details
Address
751 Ne Blakely Dr
City
State
Zip
98029-6201
Phone Number
425-313-7124
Fax Number
425-313-7057
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA60321925 (Washington)
Definition
Definition to come...
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