PETER PERCY GRANDAW M.D. NPI 1013900737

NPI Information

Peter Percy Grandaw, M.D. is a specialist in Redding, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Peter Percy Grandaw, M.D. NPI is 1013900737. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1892 BUENAVENTURA BLVD
REDDING, CA
ZIP 96001-761
Phone: (530) 243-9478
Fax: (530) 243-9378

The CLIA number assigned to this NPI record is 05D0917701 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/28/2005 and was last updated on 12/10/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.