Grandell, Christian L

Grandell, Christian L is an individual health care provider with primary practice located at 297 Lake Havasu Ave S Ste 204 , Lake Havasu City AZ 86403-6526. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Grandell, Christian L can be contacted via phone (928) 453-1970.

Contact Information

Primary practice address
297 Lake Havasu Ave S Ste 204 Lake Havasu City AZ 86403-6526
Phone: (928) 453-1970
Fax: (928) 855-7229
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2719 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2719 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2719 Arizona

Profile Details

NPI number 1588603542
LBN Legal business name Grandell, Christian L
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Oct 11th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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