GRANT CLINIC LLC
NPI 1528490968
Anesthesiology - Addiction Medicine in Payson, AZ

Active since August 08, 2013
708 S COEUR D ALENE LN, SUITE D, PAYSON, AZ 85541(925) 468-1337(928) 468-1339 Get Directions Write a Review

NPPES record last updated: August 8, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Grant Clinic Llc NPPES

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

GRANT CLINIC LLC (NPI 1528490968) is a healthcare organization registered as an addiction medicine in Payson, Arizona and active in the NPI registry since August 2013. The organization lists Marc B Grant, President, as its authorized official.

NPPES Registry Identity

NPI1528490968
Entity TypeOrganization
Primary Taxonomy207LA0401X
Legal Business NameGRANT CLINIC LLC
Location Address708 S COEUR D ALENE LN, SUITE DPayson, AZ 85541-5662
Mailing Address708 S Coeur D Alene Ln, Suite DPayson, AZ 85541-5662 · (925) 468-1337 · Fax (928) 468-1339
Fax(928) 468-1339
Organization SubpartNo
Authorized OfficialMarc B GrantPresident · (928) 468-1337
Enumeration DateAugust 8, 2013
NPI 1528490968 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.

708 S COEUR D ALENE LN, Payson, AZ 85541

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Reviews for GRANT CLINIC LLC

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Anesthesiology (Pain Medicine)
708 S COEUR D ALENE LN
PAYSON, AZ 85541
Anesthesiology (Pain Medicine)
708 S COEUR D ALENE LN, SUITE D
PAYSON, AZ 85541

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528490968, enumerated as an "organization" on August 08, 2013.

The provider is located at 708 S COEUR D ALENE LN SUITE D PAYSON, AZ 85541 and the phone number is (925) 468-1337.

Anesthesiology with taxonomy code 207LA0401X and a focus in Addiction Medicine.