Doctor Name: | RYAN GRIPPO |
NPI Number: | 1023212503 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 46321 |
Business Practice Address: | 1265 E College St Pulaski, TN - 384784541 |
Business Phone Number: | 6155790821 |
Business Fax Number: | |
Mailing Address: | 2007 21st Ave S, #104 NASHVILLE |
State: | TN |
Postal Code: | 37212 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/11/2007 |
NPI Last Update Date: | 05/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 46321 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |