Individual
DR. DENNIS J GRIFFIN
Active
Individual
DR. DENNIS J GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-22019
KS
2085R0202X
Diagnostic Radiology Physician
25034
NE
2085R0202X
Diagnostic Radiology Physician
Primary
26108
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01261080
—
CO
01
—
02558496
NY MEDICAID
NY
01
—
053219401
TX MEDICAID
TX
05
—
10025709000
—
NE
01
—
104686178
MI MEDICAID
MI
01
—
1134106909
MT MEDICAID
MT
05
—
1134106909
—
UT
05
—
1134106909
—
WY
05
—
1134106909/7726680
—
SD
01
—
15583783
NM MEDICAID
NM
01
—
200025490A
OK MEDICAID
OK
01
—
200254550A
KS MEDICAID
KS
01
—
300048001
RR MCRE RIA
CO
01
—
300090003
RR MCRE DIA
CO
01
—
300090004
RR MCRE MIC
CO
05
—
84-059792913
—
NE
05
—
864805
—
AZ
01
—
P00720353
RRMCR NE
NE
01
—
XPY201226
CA MEDICAID
CA
Enumeration date
12/22/2005
Last updated
04/03/2015
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