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Individual

MR. DONALD LEE GRIFFIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14410 ROUTE 37, JOHNSTON CITY, IL 62951-3166
(618) 937-6409
(618) 937-1619
Mailing address
PO BOX 155, CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORP., CHRISTOPHER, IL 62822
(618) 724-2401
(618) 724-2571

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036039250
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0065382
UNITED MINE WROKERS FUNDS
01
0280004028
BLUE CROSS BLUE SHIELD
01
028221
HEALTH ALLIANCE
05
036039250
IL
01
102539
BLACK LUNG
01
133163200
DEPT OF LABOR
01
134108
HEALTHLINK
01
14D0685380
OSHA
Enumeration date
08/30/2005
Last updated
12/12/2025
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