| Patricia A Grantham M.d. | |
|
30 Mt Highway 91 S Ste 205 Dillon MT 59725-3535 | |
| (406) 683-4252 | |
| Not Available |
| Full Name | Patricia A Grantham M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 30 Mt Highway 91 S Ste 205, Dillon, Montana |
| Authorized Official Name and Position | Patricia A Grantham (OFFICE MANAGER) |
| Authorized Official Contact | 4066834252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia A Grantham M.d. 30 Mt Highway 91 S Ste 205 Dillon MT 59725-3535 Ph: (406) 683-4252 | Patricia A Grantham M.d. 30 Mt Highway 91 S Ste 205 Dillon MT 59725-3535 Ph: (406) 683-4252 |
| NPI Number | 1477737336 |
|---|---|
| Provider Enumeration Date | 12/27/2007 |
| Last Update Date | 12/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477737336 | NPI | - | NPPES |
| 0080529 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
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