Basic Information
| Provider Information | |||||||||
| NPI: | 1083933808 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | R CRAIG GRIFFITHS MD PS | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 5908 | ||||||||
| Address2: | |||||||||
| City: | BELLEVUE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980060408 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4252765136 | ||||||||
| FaxNumber: | 8667639815 | ||||||||
| Practice Location | |||||||||
| Address1: | 600 BROADWAY STE 460 | ||||||||
| Address2: | ORTHOPEDICS INTERNATIONAL AMBULATORY SURGERY CENTER | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981225312 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2063290585 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/18/2010 | ||||||||
| LastUpdateDate: | 05/18/2010 | ||||||||
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| AuthorizedOfficialLastName: | JOHNSON | ||||||||
| AuthorizedOfficialFirstName: | SUSAN | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | BUSINESS OFFICE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 4252765136 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.