Individual
GARRET REX GRIZZLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
645 E MISSOURI AVE STE 300, PHOENIX, AZ 85012-1351
(602) 528-6960
Mailing address
18330 N 79TH AVE APT 1136, GLENDALE, AZ 85308-8360
(801) 836-9672
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
007923
AZ
Other
Enumeration date
05/06/2015
Last updated
06/15/2022
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