Provider Demographics
NPI:1003963679
Name:GRAINGER, WILLIAM D (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:D
Last Name:GRAINGER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1343 N ALMA SCHOOL RD
Mailing Address - Street 2:STE 160
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-5901
Mailing Address - Country:US
Mailing Address - Phone:480-776-2982
Mailing Address - Fax:480-917-7309
Practice Address - Street 1:726 N GREENFIELD RD
Practice Address - Street 2:SUITE 110
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-5012
Practice Address - Country:US
Practice Address - Phone:480-834-8885
Practice Address - Fax:480-751-5724
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2021-06-30
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Provider Licenses
StateLicense IDTaxonomies
AZAZ153362084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZD36942Medicare UPIN
13WCFGN03Medicare ID - Type Unspecified