Sho Grant
Sho Grant is a Physician Assistant in Glendale, Arizona. Qualified in 2016, 10 years ago. Practices with Springfield Urology LLC, a 9-clinician group, accepts Medicare assignment and offers telehealth.
- Years since qualifying
- 10
- In the registry since
- 2016
Practice location Address checks out
5750 W Thunderbird Rd Ste B200Glendale, AZ 85306-4664
Phone: (602) 375-1700
Fax: (602) 978-1225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1245785732 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 24, 2016 |
| Last updated in NPPES | September 8, 2016 |
| Mailing address | 5750 W Thunderbird Rd, Suite B200, Glendale, AZ 85306-4660 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Springfield Urology Llc — 9 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |
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