Jeffrey B Grant, PA | |
1649 Lucerne St, Ste A & B, Minden, NV 89423-4363 | |
(775) 782-1603 | |
(775) 782-1629 |
Full Name | Jeffrey B Grant |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 1649 Lucerne St, Minden, Nevada |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205896172 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 951 (Nevada) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jeffrey B Grant, PA 1111 Emerald Bay Rd, South Lake Tahoe, CA 96150-6207 Ph: (530) 543-5652 | Jeffrey B Grant, PA 1649 Lucerne St, Ste A & B, Minden, NV 89423-4363 Ph: (775) 782-1603 |
Elizabeth Mae Burkett, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 897 Ironwood Dr Ste A, Minden, NV 89423 Phone: 775-782-1610 | |
Mandy Carol Coulsey, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1649 Lucerne St, Minden, NV 89423 Phone: 775-782-1603 | |
Timothy Michael Oneill, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1649 Lucerne St, Suite A & B, Minden, NV 89423 Phone: 775-782-1603 Fax: 775-782-3417 |