IndividualActive
Daniel Gravdahl, M.D.
NPI 1225229115 · Anatomic Pathology & Clinical Pathology Physician · Phoenix, AZ
Provider details
- NPI number
- 1225229115
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 44276 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4207 E Cotton Center Blvd.
Building 10
Phoenix, AZ 85040
Phone: (888) 276-2223
Fax: (972) 767-0225
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 840294
Dallas, TX 75284-0294
Registry dates
- Enumerated
- 2007-08-06
- Last updated
- 2013-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.