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

Karl Daniel Granroth, PA-C

Individual provider Physician Assistant · NPI 1639294739

Karl Daniel Granroth, PA-C is a Physician Assistant in Winslow, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

620 Lee St
Winslow, AZ 86047-2435
Phone: (928) 289-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3602 (AZ)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 3602 (AZ)

Record details

NPI number1639294739
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 20, 2007
Last updated in NPPESMarch 17, 2009

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