Individual
PETER GRIGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(352) 867-8898
(352) 732-6282
Mailing address
PO BOX 380, OCALA, FL 34478-0380
(352) 867-8898
(352) 732-6282
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME38817
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030623766
—
CO
01
—
050083464
RAILROAD MEDICARE
CO
01
—
388748
ANTHEM/BCBS
CO
Enumeration date
05/10/2006
Last updated
10/29/2008
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