IndividualActive
Dale Grantham, MD
NPI 1932140456 · Emergency Medical Services (Emergency Medicine) Physician · Rio Rancho, NM
Provider details
- NPI number
- 1932140456
- Entity type
- Individual
- Primary specialty
- Emergency Medical Services (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD00041473 (WA)
Practice location
1110 Blue Sage Rd Ne
Rio Rancho, NM 87144-5763
Phone: (509) 942-4793
Mailing address
3129 N 109th Ter
Kansas City, KS 66109-8901
Registry dates
- Enumerated
- 2006-06-08
- Last updated
- 2023-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.