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Individual

DR. CLIFFORD PAUL GRYTE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1215 DUFF AVE, AMES, IA 50010-5400
(515) 239-4448
(515) 239-4741
Mailing address
1215 DUFF AVE, AMES, IA 50010-5400
(515) 239-4448
(515) 239-4741

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
19931
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1109348
IA
Enumeration date
10/19/2005
Last updated
07/08/2007
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