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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACK W GRINNAN, M.D.

Active

JACK W GRINNAN, M.D. is a Urology healthcare provider located in MESA, Arizona. NPI 1487090288 is currently active in the NPPES registry. Verify at CMS.

Urology · MESA, AZ

Registration Details

NPI Number
1487090288
Provider Type
Individual
Gender
Male
NPI Issued
May 20, 2013 (13.27802472204 yrs)
Last Updated
Mar 21, 2025
License
55776 (AZ)

Practice Information

Address
2530 E SOUTHERN AVE
MESA, AZ, 852045411
Browse AZ providers · Browse ZIP 85204
Phone
4808344188
Fax
4808346181
Primary Specialty
Urology
208800000X
Additional Specialty
Urology

Other Urology Providers in MESA, AZ

Name Credential NPI
ROBERT S SHAHON MD 1841295771
PETER J MATTHEWS M.D. 1184625832
DR. MATTHEW E KARLOVSKY MD 1568450666
DR. HIEP T NGUYEN MD 1962480616
DR. JAMES C CORD M.D. 1376522284
DR. DAVID JON GROSSKLAUS M.D. 1750355392
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.