Individual
DANIEL AARON GRIPPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1224 TROTWOOD AVE, COLUMBIA, TN 38401-4802
(931) 388-1286
(931) 388-7119
Mailing address
PO BOX 3239, INDIANAPOLIS, IN 46206-3239
(844) 295-4871
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
39219
TN
2085R0202X
Diagnostic Radiology Physician
Primary
MD
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000623463
ANTHEM BC
KY
05
—
1505378
—
TN
01
—
4191316
BCBS TN
TN
01
—
P00725889
RAILROAD MEDICARE
—
Enumeration date
01/04/2007
Last updated
08/04/2021
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