Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK A GRANRUD, PA-C
ActiveMARK A GRANRUD, PA-C is a Physician Assistant healthcare provider located in NAMPA, Idaho. NPI 1043286222 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · NAMPA, ID
Registration Details
- NPI Number
- 1043286222
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 27, 2006 (20.450330859029 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PA621 (ID)
Practice Information
- Address
-
215 E HAWAII AVENUENAMPA, ID, 83686Browse ID providers · Browse ZIP 83686
- Phone
- 2084633000
- Fax
- 2084633034
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in NAMPA, ID
| Name | Credential | NPI |
|---|---|---|
| THEA HEATON | PA-C | 1811998628 |
| STACY I SUMMA | PA C | 1295722478 |
| MR. SETH ALAN PERMANN | PA-C | 1508855974 |
| MICHAEL D WHITE | PA-C | 1780673707 |
| WILLIAM HATCH | PA | 1609865633 |
| TERRI C JONES | PA | 1336138361 |
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.