Individual
DR. WILLIAM S GRIZZARD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
439 JENNICK DR, COLONIAL HEIGHTS, VA 23834-4901
(804) 524-0890
(804) 524-0897
Mailing address
439 JENNICK DR, COLONIAL HEIGHTS, VA 23834-4901
(804) 524-0890
(804) 524-0897
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101036157
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6214941
—
VA
Enumeration date
07/07/2005
Last updated
07/06/2010
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