| Doctor Name: | DR. MELISSA ANN GRANT |
| NPI Number: | 1629240882 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 24900 |
| Business Practice Address: | 4430 Missouri Ave Attn: Ob-gyn Department Fort Leonard Wood, MO - 654739098 |
| Business Phone Number: | 5735961770 |
| Business Fax Number: | 5735961797 |
| Mailing Address: | 4430 Missouri Ave, Attn: Ob-gyn Department FORT LEONARD WOOD |
| State: | MO |
| Postal Code: | 654739098 |
| Phone Number: | 5735961770 |
| Fax Number: | 5735961797 |
| NPI Enumeration Date: | 03/27/2008 |
| NPI Last Update Date: | 04/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 24900 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NE |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |