DANIEL JOSEPH GRAVDAHL M.D.
NPI 1225229115
Pathology - Anatomic Pathology & Clinical Pathology in Phoenix, AZ

Q: What is Daniel Gravdahl's NPI number?

The NPI number for Daniel Gravdahl is 1225229115. It was assigned to this individual provider in the NPPES registry on August 6, 2007.

Q: What is Daniel Gravdahl's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Gravdahl was last updated on November 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 06, 2007

4207 E COTTON CENTER BLVD., BUILDING 10, PHOENIX, AZ 85040(888) 276-2223(972) 767-0225 Get Directions Write a Review

NPPES record last updated: November 25, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Daniel Joseph Gravdahl M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL JOSEPH GRAVDAHL M.D. (NPI 1225229115) is an individual anatomic pathology & clinical pathology provider in Phoenix, Arizona, licensed in Arizona (44276) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1225229115

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameDANIEL JOSEPH GRAVDAHLCredential: M.D.

Location Address4207 E COTTON CENTER BLVD., BUILDING 10Phoenix, AZ 85040

Mailing AddressPo Box 840294Dallas, TX 75284-0294 · (888) 344-1160 · Fax (972) 331-3148

Phone(888) 276-2223

Fax(972) 767-0225

Sole ProprietorYes

Enumeration DateAugust 6, 2007

Last NPPES UpdateNovember 25, 2013

✔ NPI 1225229115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Licenses✔ Licensed in AZ · 44276✔ Licensed in AZ · 81039

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

4207 E COTTON CENTER BLVD., Phoenix, AZ 85040

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Other Identifiers 1

Other81039AZ · Training Permit

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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