Needham, Grant

Needham, Grant is an individual health care provider with primary practice located at 1380 E Medical Center Dr Ste 4100 , St George UT 84790-2156. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Needham, Grant can be contacted via phone (435) 867-8719.

Contact Information

Primary practice address
1380 E Medical Center Dr Ste 4100 St George UT 84790-2156
Phone: (435) 867-8719
Fax: (435) 867-5763
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 284995-1206 Utah
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 284995-1206 Utah

Profile Details

NPI number 1699870899
LBN Legal business name Needham, Grant
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Nov 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699870899 NPPES
Arizona Other 716871001 AHCCS

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