Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DALE COURTNEY GRANTHAM, MD
ActiveDALE COURTNEY GRANTHAM, MD is a Emergency Medical Services healthcare provider located in RIO RANCHO, New Mexico. NPI 1932140456 is currently active in the NPPES registry. Verify at CMS.
Emergency Medical Services · RIO RANCHO, NM
Registration Details
- NPI Number
- 1932140456
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 8, 2006 (20.207965915312 yrs)
- Last Updated
- May 30, 2023
- Licenses
-
MD00041473 (WA)MD2012-0049193 (NM)MD2012-0049193 (NM)
Practice Information
- Address
-
1110 BLUE SAGE RD NERIO RANCHO, NM, 871445763Browse NM providers · Browse ZIP 87144
- Phone
- 5099424793
- Primary Specialty
-
Emergency Medical Services
207PE0004X
- Additional Specialty
- Emergency Medicine
- Additional Specialty
- Emergency Medical Services
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.