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NPI 1891762332 · live from the CMS NPI Registry

Grant James Linnell, DO

Radiology, Diagnostic Radiology in Burlington, VT. National Provider Identifier 1891762332, active.

NPI record

NPI1891762332 Type 1 · individual
StatusActive
Primary specialtyRadiology, Diagnostic Radiology 2085R0202X
Practice location111 Colchester Ave, Fahc Radiology, Burlington, VT 05401
Practice phone802-847-3593
Mailing address6900 E Camelback Rd Ste 700, Scottsdale, AZ 85251
EnumeratedMarch 3, 2006
Last updatedJuly 8, 2022
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Radiology, Diagnostic Radiology primary2085R0202X320000530 (VT)
Radiology, Diagnostic Radiology2085R0202XOS020989 (PA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.