Individual
DR. JEFFREY ALAN GRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5757 W THUNDERBIRD RD STE W202, GLENDALE, AZ 85306-5612
(602) 298-1932
(602) 862-1131
Mailing address
1112 E MCDOWELL RD, PHOENIX, AZ 85006-2611
(602) 258-4951
(602) 340-1853
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
31092
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
751778
—
AZ
Enumeration date
05/16/2006
Last updated
02/02/2012
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