Search › New Mexico › 207PE0004X
Dale Grantham, MD
NPI 1932140456 · on the registry since 2006
Practice
- Address
- 1110 Blue Sage Rd Ne
Rio Rancho, NM 87144 - Phone
- (509) 942-4793
Additional practice sites
- 3129 N 109th Ter, Kansas City, KS
Registry record
- Primary taxonomy
- 207PE0004X
207PE0004X
- Also registered as
- 207P00000X
207P00000X - Licence states on file
- WA, NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-05-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico