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Individual
WILLIAM E GRIZZLE
Active
Individual
WILLIAM E GRIZZLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
09454
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000081197
BLUE CROSS
AL
05
—
000081197
—
AL
05
—
009934738
—
AL
01
—
E45272
VIVA
AL
Enumeration date
06/19/2006
Last updated
03/16/2013
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