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Grant Ralston, MD — NPI 1568091189, Springfield, MO | NPI Central

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NPI 1568091189

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Grant Ralston, MD

NPI 1568091189 · Sports Medicine (Family Medicine) Physician · Springfield, MO

Provider details

NPI number: 1568091189
Entity type: Individual
Primary specialty: Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No
License: 2024017175 (MO)

Specialties & taxonomies

Sports Medicine (Family Medicine) PhysicianPrimary207QS0010XLicense 2024017175 (MO)
Allopathic & Osteopathic Physicians

Practice location

3555 S National Ave

Springfield, MO 65807-7310

Phone: (000) 000-0000

Approximate (ZIP-level) locationGet directions

More MO providers

Mailing address

Po Box 505673

Saint Louis, MO 63150-5673

Additional practice locations (1)

201 W. Van Asche Drive
Fayetteville, AR 72703
Phone: (479) 521-0263

Registry dates

Enumerated: 2020-04-06
Last updated: 2024-08-16
Certified: 2024-08-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.