Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GRANT ETNYRE, M.D.
ActiveDR. GRANT ETNYRE, M.D. is a Pain Medicine (PM&R) healthcare provider located in NORTH HILLS, California. NPI 1255360764 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine (PM&R) · NORTH HILLS, CA
Registration Details
- NPI Number
- 1255360764
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2006 (20.170398390465 yrs)
- Last Updated
- Jul 8, 2007
- License
-
36096765 (IL)
Practice Information
- Address
-
16111 PLUMMER STDEPARTMENT OF PHYSICAL MEDICINE (117)NORTH HILLS, CA, 913432036Browse CA providers · Browse ZIP 91343
- Phone
- 8188917711
- Fax
- 8188959458
- Primary Specialty
-
Pain Medicine (PM&R)
2081P2900X
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.