Individual
BROOKE R GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1530 N 7TH ST STE 200, TERRE HAUTE, IN 47807-1061
(812) 238-7631
(812) 238-7003
Mailing address
1530 N 7TH ST STE 200, TERRE HAUTE, IN 47807-1061
(812) 238-7631
(812) 238-7003
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01088794A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11021044A
IN
Other
Enumeration date
06/03/2020
Last updated
07/11/2023
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