Individual
DR. DANIEL C GRIFFIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
607 W MAIN ST, GRANGEVILLE, ID 83530-1345
(208) 983-8590
(208) 983-8580
Mailing address
607 W MAIN ST, GRANGEVILLE, ID 83530-1345
(208) 983-8590
(208) 983-8580
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L9711
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0045NS
BLUE CROSS BLUE SHIELD
TX
01
—
150659102
FIRSTCARE
TX
05
—
177765802
—
TX
Enumeration date
12/29/2005
Last updated
09/30/2020
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