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Dale Courtney Grantham, MD
Emergency Medical Services (Emergency Medicine) Physician in Rio Rancho, New Mexico
NPI 1932140456

Dale Courtney Grantham is a Emergency Medical Services (Emergency Medicine) Physician based in Kansas City, NM and is specialized in Emergency Medical Services. Dale Courtney Grantham practices in Rio Rancho, NM and has the professional credentials of MD. The NPI Number for Dale Courtney Grantham is 1932140456 and holds a License No. MD00041473 (New Mexico).

The current practice location address for Dale Courtney Grantham is 1110 Blue Sage Rd Ne, Rio Rancho, NM and can be reached out via phone at 509-942-4793.

Location: 1110 Blue Sage Rd Ne, Rio Rancho, NM, 66109-8901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932140456
Provider Name
Dale Courtney Grantham
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1110 Blue Sage Rd Ne, Rio Rancho, NM, 66109-8901
Phone Number
509-942-4793
Fax Number
Provider Enumeration Date
06/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8317067 05 WA
3075GR 01 WA BSWA
605960008 01 WA DEEOIC
0202687 01 WA LIWA
institution
Provider Business Practice Location Address Details
Address
1110 Blue Sage Rd Ne
City
Rio Rancho
State
New Mexico
Zip
87144-5763
Phone Number
509-942-4793
Fax Number
person
Provider Business Mailing Address Details
Address
1110 Blue Sage Rd Ne
City
Rio Rancho
State
New Mexico
Zip
87144-5763
Phone Number
509-942-4793
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
MD2012-0049193 (New Mexico)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
MD00041473 (Washington)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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