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Individual

ANDERSEN IRVIN GRIGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
UNIVERSITY OF KENTUCKY AND AFFILIATES, 800 ROSE ST., LEXINGTON, KY 40536-0001
(859) 332-5000
Mailing address
791 TYRUS CT, LEXINGTON, KY 40515-5541
(859) 523-5274

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R1686
KY

Other

Enumeration date
09/14/2010
Last updated
09/14/2010
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