SearchNew Mexico106S00000X

Ethan Grant

NPI 1447769518 · on the registry since 2017

Practice

Address
8500 Washington St Ste A1
Albuquerque, NM 87113
Phone
(505) 828-3837
Fax
(877) 828-1550
Clinicians at this address
2

Registry record

Primary taxonomy
106S00000X
106S00000X
Sex
Male
Record last updated
2022-07-21

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