Doctor Name: | DR. JOHN GRIFFITH |
NPI Number: | 1235191933 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 61485681205 |
Business Practice Address: | 175 N 100 W Suite 103 Vernal, UT - 840782049 |
Business Phone Number: | 4357811099 |
Business Fax Number: | 4357811090 |
Mailing Address: | 175 N 100 W, Suite 103 VERNAL |
State: | UT |
Postal Code: | 840782049 |
Phone Number: | 4357811099 |
Fax Number: | 4357811090 |
NPI Enumeration Date: | 04/06/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 61485681205 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | UT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |