Dr. Grant Etnyre
Pain Medicine
16111 Plummer St Department Of Physical Medicine (117)
North Hills
, California 91343-2036
Dr. Grant Etnyre
Pain Medicine
16111 Plummer St Department Of Physical Medicine (117)
North Hills
, California 91343-2036
(818) 895-9458
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About
Features
Specialties
- Pain Medicine
Languages spoken
- English
Location
First Address
- Dr. Grant Etnyre
- 16111 Plummer St Department Of Physical Medicine (117)
- North Hills, CA
- Zip : 91343-2036
- Fax : (818) 895-9458
- Phone : (818) 891-7711
Second Address
- Dr. Grant Etnyre
- 16111 Plummer St Department Of Physical Medicine (117)
- North Hills, CA
- Zip : 91343-2036
- Fax : (818) 895-9458
- Phone : (818) 891-7711
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081P2900X | Pain Medicine | 36096765 | IL |
National Provider Identifier
| NPI | 1255360764 |
|---|---|
| Provider Name | Dr. Grant Etnyre |
| First Address | North Hills, CA 91343-2036 |
| Second Address | North Hills, CA 91343-2036 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.