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Individual

PATRICK W GRIFFITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1902 JOHNSON ST, JENNINGS, LA 70546-3628
(337) 824-9119
(337) 824-7005
Mailing address
1902 JOHNSON ST, JENNINGS, LA 70546-3628
(337) 824-9119
(337) 824-7005

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
022626
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1491331
LA
Enumeration date
09/06/2006
Last updated
03/24/2011
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