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Individual

IAN GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2516 STOCKTON BLVD, SACRAMENTO, CA 95817-2208
(916) 703-5015
(916) 703-5061
Mailing address
2516 STOCKTON BLVD, SACRAMENTO, CA 95817-2208
(916) 703-5015
(916) 703-5061

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
C53337
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
145185801
TX
Enumeration date
10/17/2006
Last updated
11/26/2008
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