Individual
DR. WALTER JAMES GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9111 OLIVE BLVD, APT. 1C, SAINT LOUIS, MO 63132-3724
(314) 991-2761
Mailing address
9111 OLIVE BLVD, APT. 1C, SAINT LOUIS, MO 63132-3724
(314) 991-2761
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD36607
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203049309
—
MO
Enumeration date
12/14/2007
Last updated
06/24/2008
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