Doctor Name: | DR. JOSEPH ROSS GRIGGS |
NPI Number: | 1033474077 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | |
Business Practice Address: | Msc 08 4640 1 University Of New Mexico Albuquerque, NM - 871310001 |
Business Phone Number: | 5052724814 |
Business Fax Number: | 5052728084 |
Mailing Address: | 2822 N 110th Ct Apt 101, OMAHA |
State: | NE |
Postal Code: | 681641549 |
Phone Number: | 8016944242 |
Fax Number: | |
NPI Enumeration Date: | 07/05/2012 |
NPI Last Update Date: | 05/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NM |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |