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Individual

JOEL HAROLD GRIFFITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
645 S ROGERS ST, BLOOMINGTON, IN 47403
(812) 339-1691
Mailing address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
(812) 339-1691
(812) 337-2438

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01024489
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100154190A
IN
Enumeration date
07/24/2006
Last updated
03/20/2019
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