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Individual

DANIEL AARON GRIPPO

Active
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Individual

DANIEL AARON GRIPPO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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