Individual
MARY GRACE GRIFFIN
Active
Individual
MARY GRACE GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2018022965
MO
207R00000X
Internal Medicine Physician
T-2957
MS
Other
Enumeration date
07/01/2015
Last updated
07/13/2021
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