Individual
DR. NICOLAS ENRIQUE GRISONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9327 N 3RD ST STE 300, PHOENIX, AZ 85020-2476
(602) 648-5444
(602) 772-3801
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(602) 772-3801
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35-092688
OH
207X00000X
Orthopaedic Surgery Physician
72936
AZ
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
72936
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3030900
—
OH
Enumeration date
03/14/2007
Last updated
05/07/2024
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