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Individual

DR. BENJAMIN R GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 HAWKINS DR, IOWA CITY, IA 52242
(319) 384-8197
(319) 356-2999
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-8197
(319) 356-2999

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
56561
MN
207R00000X
Internal Medicine Physician
MD-46392
IA
207RN0300X
Nephrology Physician
Primary
MD-46392
IA
208M00000X
Hospitalist Physician
DR.0058309
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
028588
KAISER COMMERCIAL NUMBER
CO
05
9000154806
CO
05
ENROLLED
IA
05
ENROLLED
MN
01
P01234119
RAILROAD MEDICARE
MN
Enumeration date
06/25/2012
Last updated
07/15/2019
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