Glynn Griffin OD

NPI 1003977364 - Optometrist - 152W00000X

NPI Details
NPI 1003977364
Gender Male
Enumeration Date 12/12/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
SLIDELL LA, 70460-6809, US
Phone (210) 524-6803
Fax (210) 524-6587
Business Location
11103 WEST AVE
SAN ANTONIO TX, 78213-1370, US
Phone (210) 524-6803
Fax (210) 524-6587
Taxonomy Code 152W00000X
License State Louisiana
License Number 686-204T
Remove 1003977364 NPI Number

According to our database, Glynn Griffin OD NPI is 1003977364, taxonomy code is 152W00000X and license number is 686-204T, license state is located at Louisiana. Glynn Griffin OD physically located at 150 Northshore Blvd, Slidell LA, 70460-6809. NPI Number Glynn Griffin OD has the Individual type.

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1003977364 NPI number is provided on an as is basis without warranty of any kind. 1003977364 is maintained by the National Plan & Provider Enumeration System. The contents of Glynn Griffin OD are for informational purposes only.