Individual
MIA GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(202) 715-4000
Mailing address
900 23RD ST NW, WASHINGTON, DC 20037-2342
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
PA200001358
DC
363AS0400X
Surgical Physician Assistant
Primary
PA200001358
DC
Other
Enumeration date
03/03/2022
Last updated
12/18/2022
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