Individual
RYAN GRIPPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223
(270) 798-8333
Mailing address
67 WYN OAK, NASHVILLE, TN 37205-5000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
46321
TN
Other
Enumeration date
06/11/2007
Last updated
12/16/2018
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