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Individual

DANIEL TODD GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
503 MCMILLAN RD, WEST MONROE, LA 71291-5327
(512) 730-3060
(888) 730-1925
Mailing address
7500 RIALTO BLVD STE 1-140, AUSTIN, TX 78735-8534
(512) 730-3060
(888) 730-1925

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN128460
LA
363LA2200X
Adult Health Nurse Practitioner
Primary
AP08955
LA

Other

Enumeration date
05/16/2016
Last updated
07/21/2016
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