Search › West Virginia › 3747P1801X
Ethan Grant
NPI 1174110951 · on the registry since 2020 · sole proprietor
Practice
- Address
- 305 Stealey Ave
Clarksburg, WV 26301 - Phone
- (304) 627-7427
Registry record
- Primary taxonomy
- 3747P1801X
3747P1801X
- Sex
- Male
- Record last updated
- 2020-12-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia