Individual
DR. ANDREW TODD GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
311 WEST LINCOLN, SUITE 300, BELLEVILLE, IL 62220-1921
(618) 233-7077
(660) 826-4852
Mailing address
6 GRAY CLUB COURT, GLEN CARBON, IL 62034-1396
(618) 218-0115
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
041269915
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209001330
IL
Other
Enumeration date
12/16/2005
Last updated
01/14/2020
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