Individual
SCOTT W GRISOLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
04-31624
KS
207RG0100X
Gastroenterology Physician
Primary
2004001450
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200358820A
—
KS
05
—
208352013
—
MO
01
—
36111019
BCBS KC
MO
Enumeration date
09/06/2006
Last updated
07/11/2024
Update your record
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