Individual
MR. JON L GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 W IRONWOOD DR, COEUR D ALENE, ID 83814-2656
(509) 228-1000
(509) 252-9300
Mailing address
PO BOX 3868, SPOKANE, WA 99220-3868
(509) 228-1000
(509) 252-9300
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
M5308
ID
2085R0001X
Radiation Oncology Physician
MD00020143
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003713100
—
ID
01
—
320000489
RAILROAD MEDICARE
—
Enumeration date
08/19/2005
Last updated
03/24/2017
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