Individual
DOUGLAS GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6116 E. ARBOR AVE, SUITE 118, MESA, AZ 85206-5235
(480) 924-1552
(480) 830-8417
Mailing address
6116 E. ARBOR AVE, SUITE 118, MESA, AZ 85206-5235
(480) 924-1552
(480) 830-8417
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD-000516
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480032589
MEDICARE RAILROAD
AZ
05
—
793829
—
AZ
01
—
AZ0194950
BCBS
AZ
Enumeration date
09/20/2005
Last updated
10/12/2022
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