Individual
ALVIN PERRY GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 W 2ND ST, BLOOMINGTON, IN 47403-2317
(812) 353-5603
(812) 353-3451
Mailing address
601 W 2ND ST, BLOOMINGTON, IN 47403-2317
(812) 353-5603
(812) 353-3451
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01038181A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100462920A
—
IN
Enumeration date
07/24/2006
Last updated
12/29/2014
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