Doctor Name: | MR. JAMES LOUIS GRISEZ |
NPI Number: | 1225190598 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | G7402 |
Business Practice Address: | 200 Station Way Ste 200b Arroyo Grande, CA - 934203348 |
Business Phone Number: | 8054891409 |
Business Fax Number: | 8054891290 |
Mailing Address: | 200 Station Way, Ste 200b ARROYO GRANDE |
State: | CA |
Postal Code: | 934203348 |
Phone Number: | 8054891409 |
Fax Number: | 8054891290 |
NPI Enumeration Date: | 12/14/2006 |
NPI Last Update Date: | 01/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | G7402 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |