Individual
DR. SHAWN P. GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5210 NORTH BELT HWY, SAINT JOSEPH, MO 64506-1211
(816) 271-4996
(816) 271-4926
Mailing address
5210 NORTH BELT HWY, SAINT JOSEPH, MO 64506-1211
(816) 271-4996
(816) 271-4926
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
113444
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001084500
COMMUNITY HEALTH PLAN
MO
05
—
100395630A
—
KS
01
—
2042934
AETNA
MO
01
—
24468016
BLUE CROSS/BLUE SHIELD KC
MO
05
—
246807846
—
MO
01
—
26D0896653
CLIA
MO
01
—
400268
BLUE CROSS/BLUE SHIELD KS
MO
Enumeration date
07/17/2006
Last updated
05/20/2008
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