Individual
DR. DAVID L. GRIFFEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
701 N. 1ST STREET, SPRINGFIELD, IL 62702
(217) 545-7409
(217) 545-2711
Mailing address
PO BOX 19638, SPRINGFIELD, IL 62794-9638
(217) 545-7409
(217) 545-2711
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036079001
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360790012
—
IL
01
—
930126700
RAIL ROAD MEDICARE
IL
Enumeration date
06/15/2006
Last updated
03/13/2013
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