Individual provider · NPI-1

Dr. John Robert Griffin, M.D.

Surgery, Plastic and Reconstructive Surgery · San Mateo, CA

NPI number1114933827
StatusActive
Last updated in NPPESJun 22, 2020

Details

NPI
1114933827
Entity type
Individual (NPI-1)
Name
Dr. John Robert Griffin
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Aug 1, 2006
Certification date
Jun 22, 2020
Last updated
Jun 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0122X Surgery, Plastic and Reconstructive SurgeryA82100CAYes

Other names

  • John R Griffin (Professional Name)

Practice location

50 S San Mateo Dr
Ste 470
San Mateo, CA 94401-3857

Phone 650-652-8239 · Fax 650-652-8239

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408

Phone 650-652-8239

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