Most Relevant Information
Provider Data
| NPI Number: | 1003213869 |
| Provider Name: | ELIZABETH GRANADOS PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/21/2014 |
| Last Updated: | 11/01/2017 |
Provider Practice Location
1800 ORLEANS ST # 600
BALTIMORE
MD
212870010
Practice Location Phone/Fax
| Phone: | 4105022651 |
| Fax: | 4106147764 |
Provider Mailing Location
2050 S BLOSSER RD
SANTA MARIA
CA
934587310
Provider Mailing Phone/Fax
| Phone: | 8053618028 |
| Fax: | 8053618097 |