Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STEPHEN BERNARD GRANT, MD
ActiveSports Medicine (IM) · CLIVE, IA
Registration Details
- NPI Number
- 1013026798
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 29, 2006 (19.646439921534 yrs)
- Last Updated
- May 1, 2019
- Licenses
-
38506 (IA)MD-38506 (IA)
Practice Information
- Address
-
1449 NW 128TH STCLIVE, IA, 503257400Browse IA providers · Browse ZIP 50325
- Phone
- 5153589600
- Fax
- 5153589650
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
- Additional Specialty
- Sports Medicine (IM)
Other Sports Medicine (IM) Providers in CLIVE, IA
| Name | Credential | NPI |
|---|---|---|
| MELISA COAKER | MD | 1164623393 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.