Individual
GRANT WILLIAM GRIFFITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4040 W DAHLIA DR, PHOENIX, AZ 85029-1922
(602) 277-5551
Mailing address
4040 W DAHLIA DR, PHOENIX, AZ 85029-1922
(602) 277-5551
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN025269
AZ
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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