Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 34030 | CA |
N | 111NX0100X | Occupational Health | 16244 | AR |
NPI | 1730699794 |
---|---|
Provider Name | Dr. Dana Grenman |
First Address | Hot Springs, AR 71902-0394 |
Second Address | Hot Springs, AR 71901-5300 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2017 |
Last Update Date | 17/09/2021 |