| Doctor Name: | DR. DAVID WAYNE GRANT |
| NPI Number: | 1891968319 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 590 |
| Business Practice Address: | Madigan Army Medical Center Attn: Mchj-edme 9040 Reid Street Tacoma, WA - 984311100 |
| Business Phone Number: | 2535969104 |
| Business Fax Number: | 2539685926 |
| Mailing Address: | 20809 56th Avenue Ct E, SPANAWAY |
| State: | WA |
| Postal Code: | 983874750 |
| Phone Number: | 2533704678 |
| Fax Number: | |
| NPI Enumeration Date: | 04/04/2008 |
| NPI Last Update Date: | 09/11/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 590 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |