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Julia C Grandstaff, PA

Physician Assistant, Surgical in Exeter, NH. Individual provider (NPI-1).

NPI number1821460171
StatusActive
Last updated in NPPESApr 16, 2020

Details

NPI
1821460171
Entity type
Individual (NPI-1)
Name
Julia C Grandstaff
Credential
PA
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 27, 2015
Certification date
Apr 16, 2020
Last updated
Apr 16, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AS0400X Physician Assistant, Surgical1591NHYes

Practice location

1 Hampton Rd Unit 200
Exeter, NH 03833-2995

Phone 603-775-7575 · Fax 603-778-9680

Mailing address

1 Hampton Rd Unit 200
Exeter, NH 03833-2995

Phone 603-775-7575 · Fax 603-778-9680

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