Most Relevant Information
Provider Data
| NPI Number: | 1003426651 |
| Provider Name: | MATTHEW RYAN GRANT |
| Entity Type: | Individual |
| Taxonomy Code: | 227900000X |
| Specialty: | Respiratory Therapist, Registered |
| License Number: | TH2065 |
Most Important Dates
| Enumeration Date: | 08/07/2020 |
| Last Updated: | 08/07/2020 |
Provider Practice Location
50 ENGDAHL DR
DOVER FOXCROFT
ME
044263652
Practice Location Phone/Fax
| Phone: | 9789951736 |
| Fax: |
Provider Mailing Location
9 MAPLE ST
DOVER FOXCROFT
ME
044261317
Provider Mailing Phone/Fax
| Phone: | 9789951736 |
| Fax: |