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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice |
| NPI # | 1659372902 |
| LBN Legal business name | GRANITE MEDICAL GROUP INC |
| Authorized official | LAURA MURPHY - (ADMINISTRATIVE) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/09/2005 |
| Last updated | 11/05/2007 - About 19 years ago |
| Identifiers | n/a |
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GRANITE MEDICAL GROUP INC
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GRANITE MEDICAL GROUP INC