Individual
DR. EDMUND A GRILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
#138 YPAO ROAD, TAMUNING, GU 96931
(671) 646-6111
(671) 646-6115
Mailing address
PO BOX 315574, TAMUNING, GU 96931-3474
(671) 646-6111
(671) 646-6115
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M00714
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027
—
GU
Enumeration date
01/17/2007
Last updated
11/24/2014
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