Individual
GARY L GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10590 N MERIDIAN ST, SUITE 105, INDIANAPOLIS, IN 46290-1028
(317) 583-7800
(317) 583-7807
Mailing address
8433 HARCOURT ROAD, SUITE 300, INDIANAPOLIS, IN 46260-2190
(317) 583-7600
(317) 583-7601
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
01033653A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000083153
BCBS PIN
—
05
—
100374500A
—
IN
01
—
60016004
RAILROAD MEDICARE
—
Enumeration date
07/18/2006
Last updated
06/24/2008
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