THE GRANT CLINIC, LLC
NPI 1235466996
Anesthesiology - Addiction Medicine in Phoenix, AZ

Active since November 17, 2009
14640 N TATUM BLVD STE 7, PHOENIX, AZ 85032(602) 327-0184(602) 358-8063 Get Directions Write a Review

NPPES record last updated: November 17, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About The Grant Clinic, Llc NPPES

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

THE GRANT CLINIC, LLC (NPI 1235466996) is a healthcare organization registered as an addiction medicine in Phoenix, Arizona and active in the NPI registry since November 2009. The organization lists Marc Grant, President, as its authorized official.

NPPES Registry Identity

NPI1235466996
Entity TypeOrganization
Primary Taxonomy207LA0401X
Legal Business NameTHE GRANT CLINIC, LLC
Location Address14640 N TATUM BLVD STE 7Phoenix, AZ 85032-4824
Mailing AddressPo Box 45379Phoenix, AZ 85064-5379 · (602) 327-0184 · Fax (602) 358-8063
Fax(602) 358-8063
Organization SubpartNo
Authorized OfficialMarc GrantPresident · (602) 327-0184
Enumeration DateNovember 17, 2009
NPI 1235466996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LA0401X
License Licensed in AZ · 1609
Definition
An anesthesiologist who specializes in the diagnosis and treatment of addictions.
14640 N TATUM BLVD STE 7, Phoenix, AZ 85032

Other Identifiers 2

Medicare PIN102973AZ
Medicare UPINB46272AZ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Grant Clinic, LLC's NPI number?

The NPI number for The Grant Clinic, LLC is 1235466996. It was assigned to this organization in the NPPES registry on November 17, 2009.

Where is The Grant Clinic, LLC located?

The Grant Clinic, LLC is located at 14640 N Tatum Blvd Ste 7, Phoenix, AZ 85032. The listed phone number is (602) 327-0184.

What is The Grant Clinic, LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Addiction Medicine, with taxonomy code 207LA0401X.

When was this NPI record last updated?

The NPPES record for The Grant Clinic, LLC was last updated on November 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.