Individual
DR. ELMO ALLEN GRIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2811 WASHINGTON AVE, BEDFORD, IN 47421-5310
(812) 675-0902
(812) 675-8251
Mailing address
2811 WASHINGTON AVE, BEDFORD, IN 47421-5310
(812) 675-0902
(812) 675-8251
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
01029070A
IN
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
01029070A
IN
208D00000X
General Practice Physician
01029070A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100383060
—
IN
01
—
351129269
COMMERCIAL INSURANCES
IN
Enumeration date
11/08/2006
Last updated
03/01/2019
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