Doctor Name: | DR. WILLIAM MARK GRANT |
NPI Number: | 1144299413 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | R2H91 |
Business Practice Address: | 1705 E Broadway Suite 300 Columbia, MO - 652017166 |
Business Phone Number: | 5738170810 |
Business Fax Number: | 5738171790 |
Mailing Address: | 1705 E Broadway, Suite 300 COLUMBIA |
State: | MO |
Postal Code: | 652017166 |
Phone Number: | 5738170810 |
Fax Number: | 5738171790 |
NPI Enumeration Date: | 03/17/2006 |
NPI Last Update Date: | 07/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | R2H91 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |