Individual
DR. JORDAN GRILLIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3130 N COUNTY ROAD 25A STE 116, TROY, OH 45373-1337
(937) 335-3561
Mailing address
2211 NORTHBRIDGE TRL, TROY, OH 45373-4667
(937) 626-3110
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
330890
LA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
34.016569
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0230339
—
OH
Enumeration date
05/12/2017
Last updated
02/12/2025
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