Daniel Joseph Gravdahl, MD - Pathology in Phoenix, AZ

Daniel Joseph Gravdahl, MD is a Pathology - Anatomic Pathology & Clinical Pathology physician based in Phoenix, Arizona. Daniel Joseph Gravdahl is licensed to practice in Arizona (license number 44276) and his current practice location is 4207 E Cotton Center Blvd., Building 10, Phoenix, Arizona. He can be reached at his office (for appointments etc.) via phone at (888) 276-2223.

NPI number for Daniel Joseph Gravdahl is 1225229115 and his current mailing address is Po Box 840294, Dallas, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225229115.

Contact Information

Daniel Joseph Gravdahl, MD
4207 E Cotton Center Blvd., Building 10,
Phoenix, AZ 85040
(888) 276-2223
(972) 767-0225

Map and Direction




Physician's Profile

Full NameDaniel Joseph Gravdahl
GenderMale
SpecialityPathology - Anatomic Pathology & Clinical Pathology
Location4207 E Cotton Center Blvd., Phoenix, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1225229115
  • Provider Enumeration Date: 08/06/2007
  • Last Update Date: 11/25/2013

Medical Identifiers

Medical identifiers for Daniel Joseph Gravdahl such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225229115NPI-NPPES
81039OtherAZTRAINING PERMIT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 44276 (Arizona)Primary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 81039 (Arizona)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Daniel Joseph Gravdahl is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Daniel Joseph Gravdahl, MD
Po Box 840294,
Dallas, TX 75284-0294

Ph: (888) 344-1160
Daniel Joseph Gravdahl, MD
4207 E Cotton Center Blvd., Building 10,
Phoenix, AZ 85040

Ph: (888) 276-2223

Reviews and Comments


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