Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grant Clinic LLC

Organization Addiction Medicine (Anesthesiology) Physician · NPI 1528490968

Grant Clinic LLC is an Addiction Medicine (Anesthesiology) Physician in Payson, Arizona. Licensed in Arizona. Registered with an NPI since 2013.

Licensed in
AZ
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

708 S Coeur D Alene Ln Ste D
Payson, AZ 85541-5662
Phone: (925) 468-1337
Fax: (928) 468-1339
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Anesthesiology) Physician (primary) Taxonomy 207LA0401X · Licence 1609 (AZ)

Record details

NPI number1528490968
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marc Grant — President · (928) 468-1337
NPI enumeratedAugust 8, 2013
Last updated in NPPESAugust 8, 2013
Mailing address708 S Coeur D Alene Ln, Suite D, Payson, AZ 85541-5662

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