Stephen Grandy, DDS

NPI 1407261407 · on the registry since 2014

Practice

Address: 465 Memorial Drive
Pocatello, ID 83209
Phone: (208) 282-3289
Fax: (208) 282-5834
Organisation at this address: Health West
Phs Md #1, Llc
Health West, Inc.
Isu Family Medicine
Idaho State University
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 122

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-03-07

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 Idaho