Utah
Division of Occupational and Professional Licensing
PHILLIP MATTHEW GRANDSTAFF
Physician - Physician & Surgeon
License number
8767358-1205
Date granted
08/16/2013
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
SOUTH PADRE ISLAND, TX 78597
utahlicensing.org
ID 29932146
LAST UPDATED 2024-03-31 18:42:38 UTC
LAST UPDATED 2024-03-31 18:42:38 UTC
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