Doctor Name: | DR. GERALD DIETER GRIFFIN |
NPI Number: | 1215985205 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD, PHARMD |
License Number: | A37105 |
Business Practice Address: | 23625 Holman Hwy Community Hospital Of The Monterey Peninsula Monterey, CA - 93940 |
Business Phone Number: | 8316254511 |
Business Fax Number: | |
Mailing Address: | P.o. Box Hh, MONTEREY |
State: | CA |
Postal Code: | 93942 |
Phone Number: | 8316254511 |
Fax Number: | |
NPI Enumeration Date: | 05/04/2006 |
NPI Last Update Date: | 10/15/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A37105 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |