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

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1225229115

Daniel Joseph Gravdahl, MD is an Anatomic Pathology & Clinical Pathology Physician in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4207 E Cotton Center Blvd Bldg 10
Phoenix, AZ 85040
Phone: (888) 276-2223
Fax: (972) 767-0225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 44276 (AZ)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 81039 (AZ)

Record details

NPI number1225229115
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 6, 2007
Last updated in NPPESNovember 25, 2013

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