| Griffin Medical, Pllc | |
|
2034 E Southern Ave Ste B Tempe AZ 85282-7511 | |
| (480) 400-3175 | |
| Not Available |
| Full Name | Griffin Medical, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2034 E Southern Ave Ste B, Tempe, Arizona |
| Authorized Official Name and Position | Angela Griffin (OWNER) |
| Authorized Official Contact | 4808248170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Griffin Medical, Pllc 2034 E Southern Ave Ste B Tempe AZ 85282-7511 Ph: (480) 824-8170 | Griffin Medical, Pllc 2034 E Southern Ave Ste B Tempe AZ 85282-7511 Ph: (480) 400-3175 |
| NPI Number | 1922732296 |
|---|---|
| Provider Enumeration Date | 07/13/2022 |
| Last Update Date | 05/02/2023 |
| Medicare PECOS PAC ID | 0143682971 |
|---|---|
| Medicare Enrollment ID | O20230810003971 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922732296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Angela Mae Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750640454 PECOS PAC ID: 5991018640 Enrollment ID: I20150723008638 |
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