Individual
DR. JOHN D GRIZZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 594-2074
(757) 594-3369
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101035488
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010007615 541581185
—
VA
Enumeration date
09/08/2006
Last updated
03/04/2021
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