RUSSELL GRIFFETH

Dr RUSSELL GRIFFETH is a male medical professional, specializing in Physical Therapy. He graduated in 1991.

Contact

2037 E 17TH ST
IDAHO FALLS
ID
834046430

Tel:

RUSSELL GRIFFETH Information

Npi 1841359866
Pac Id 2466583133
Professional Enrollment Id I20100623001015
Last Name GRIFFETH
First Name RUSSELL
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1991
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 2037 E 17TH ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City IDAHO FALLS
State ID
Zip Code 834046430
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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