Karl Daniel Granroth, PA-C | |
620 Lee St, Winslow, AZ 86047-2435 | |
(928) 289-2000 | |
Not Available |
Full Name | Karl Daniel Granroth |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 620 Lee St, Winslow, Arizona |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639294739 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 3602 (Arizona) | Primary |
363AS0400X | Physician Assistant - Surgical | 3602 (Arizona) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Karl Daniel Granroth, PA-C 2920 N 4th St, Flagstaff, AZ 86004-1816 Ph: (928) 213-6121 | Karl Daniel Granroth, PA-C 620 Lee St, Winslow, AZ 86047-2435 Ph: (928) 289-2000 |
Jodi Lynn Behm, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 620 Lee St, Winslow, AZ 86047 Phone: 928-289-2000 | |
Mr. James Yvan Benson Rinchere, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2100 S Highway 87, Winslow, AZ 86047 Phone: 786-641-8769 |