Search › New Mexico › 363AM0700X
Ryan Grange, P.A
NPI 1295194629 · on the registry since 2016
Practice
- Address
- 1851 Old Highway 66 Unit 1
Edgewood, NM 87015 - Phone
- (505) 286-2396
- Fax
- (505) 286-2398
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-04-14
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 New Mexico