Most Relevant Information
Provider Data
| NPI Number: | 1003016700 |
| Provider Name: | ALISSA MICHELLE GRANT M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | E-7744 |
Most Important Dates
| Enumeration Date: | 07/20/2007 |
| Last Updated: | 06/11/2021 |
Provider Practice Location
900 HIGHWAY 71 N
MENA
AR
719534304
Practice Location Phone/Fax
| Phone: | 4793945439 |
| Fax: | 4793944357 |
Provider Mailing Location
900 HIGHWAY 71 N
MENA
AR
719534304
Provider Mailing Phone/Fax
| Phone: | 4793945439 |
| Fax: | 4793944357 |
Suggested EMR
Pediatrics EMR