OrganizationActive
Grant Clinic LLC
NPI 1346558483 · Pain Medicine (Anesthesiology) Physician · Payson, AZ
Provider details
- NPI number
- 1346558483
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marc Grant, President(602) 327-0184
- License
- 1609 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
708 S Coeur D Alene Ln
Suite D
Payson, AZ 85541-5662
Phone: (928) 468-1337
Fax: (928) 468-1339
Approximate (ZIP-level) locationGet directions
Mailing address
708 S Coeur Dalene Lane
Payson, AZ 85541-5662
Registry dates
- Enumerated
- 2010-09-23
- Last updated
- 2013-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.