Individual
AMANDA MARIE GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5437 KIETZKE LN, RENO, NV 89511-1088
(775) 322-4550
(775) 322-4956
Mailing address
5437 KIETZKE LN, RENO, NV 89511-1088
(775) 322-4550
(775) 322-4956
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO1685
NV
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
DO1685
NV
207RP1001X
Pulmonary Disease Physician
Primary
DO1685
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14005480
CAQH
NV
Enumeration date
07/23/2009
Last updated
04/11/2024
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