Individual
MR. DAVID BROCK GRIFFITH
Active
Individual
MR. DAVID BROCK GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26300
FL
225100000X
Physical Therapist
J1-0001822
DE
225100000X
Physical Therapist
PT016735
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000051057
DPCI
—
05
—
1204047380001
—
PA
05
—
1366480212
—
DE
01
—
2135023
HIGHMARK PA BLUE SHIELD
PA
01
—
3744641000
IBC
DE
01
—
G02348D12
MEDICARE
—
01
—
P00359628
RAILROAD MEDICARE
—
Enumeration date
06/03/2006
Last updated
11/06/2018
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