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Contact Information

DANIEL J GRAVDAHL, MD
4207 E COTTON CENTER BLVD.
BUILDING 10
PHOENIX, AZ85040
 Phone: 888-276-2223
 Fax: 972-767-0225
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for DANIEL J GRAVDAHL · (Male)

NPI # 1225229115
Status Active
Credentials MD
Entity Individual
Enumeration date 08/06/2007
Last updated 11/25/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 44276
  • AZ License # 81039
  • AZ Other 81039 TRAINING PERMIT
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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