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Search › Missouri › 207P00000X

Brian Grantham, M.D

NPI 1437356326 · on the registry since 2007

Practice

Address
4234 Illinois Ave
Fort Leonard Wood, MO 65473
Phone
(573) 596-0456
Organisation at this address
Ach Leonard Wood
Ach Leonard Wood
Inferred from a shared address, not stated in the registry.
Clinicians at this address
56

Additional practice sites

  • 1100 N Kentucky Ave, West Plains, MO

Registry record

Primary taxonomy
207P00000X
207P00000X
Also registered as
207Q00000X
207P00000X
207QS0010X
2083S0010X
208M00000X
207QG0300X
208D00000X
Licence states on file
AR, MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-11

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 Missouri