Individual
DR. SIDNEY KENT GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 S MOUNT AUBURN RD, SUITE 418, CAPE GIRARDEAU, MO 63703-4910
(573) 332-6000
(573) 332-6125
Mailing address
2021 EVERGREEN DR, CAPE GIRARDEAU, MO 63701-1860
(573) 334-0684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R5B72
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201612819
—
MO
Enumeration date
09/09/2005
Last updated
07/29/2013
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