Individual
AMALIA SUE GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7150 CLEARVISTA DR, INDIANAPOLIS, IN 46256-1695
(317) 621-6262
Mailing address
PO BOX 1026, INDIANAPOLIS, IN 46206-1026
(317) 777-6435
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01083751A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300003270
—
IN
Enumeration date
04/28/2017
Last updated
03/07/2022
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