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:
Health care specialties
| Specialty | Code | License # | 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 5 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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