Individual
PHILLIP GRIGSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11370 HAVSTAD DR, LOMA LINDA, CA 92354-4149
(541) 761-9596
Mailing address
11370 HAVSTAD DR, LOMA LINDA, CA 92354-4149
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A157441
CA
Other
Enumeration date
05/11/2017
Last updated
09/17/2024
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