Grantham, Brian W

Grantham, Brian W is an individual health care provider with primary practice located at 4430 Missouri Ave , Fort Leonard Wood MO 65473-9098. He recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Grantham, Brian W can be contacted via phone (573) 596-0417.

Contact Information

Primary practice address
4430 Missouri Ave Fort Leonard Wood MO 65473-9098
Phone: (573) 596-0417
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2083S0010X E998 Arkansas
Allopathic & Osteopathic Physicians / General Practice 208D00000X E998 Arkansas
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X E998 Arkansas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X E998 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E998 Arkansas
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X E998 Arkansas
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X E998 Arkansas

Profile Details

NPI number 1437356326
LBN Legal business name Grantham, Brian W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2007
Last updated Jul 9th, 2024 - about 2 months 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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