Individual
DR. MATTHEW R GRIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 535-4130
(208) 535-4125
Mailing address
3100 CHANNING WAY, P.O. BOX 1647, IDAHO FALLS, ID 83404-7533
(208) 535-4130
(208) 535-4125
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
M-9888
ID
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
M9888
ID
Other
Enumeration date
04/17/2007
Last updated
06/29/2010
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