Individual
LINDSAY JEAN GRIZZLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2927 N 7TH AVE, PHOENIX, AZ 85013-4102
(602) 406-3153
(602) 406-7176
Mailing address
FILE 56765, LOS ANGELES, CA 90074-0001
(602) 406-3860
(602) 406-6132
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40647
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
359517
—
AZ
05
—
Z145246
—
AZ
Enumeration date
09/17/2007
Last updated
04/28/2012
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