MEDICARE: BRIAN F GRIFFIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0014X	Interventional Pain Medicine Physician	35044328	OH

General Provider Information

NPI Number	:	1073592127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN F GRIFFIN MD

Provider Business Mailing Address
First Line	:	4694 CEMETERY RD
Second Line	:	PMB 314
City	:	HILLIARD
State	:	OH
Zip	:	43026-1124
Country	:	US
Telephone Number	:	614-921-9300
Fax Number	:	614-921-9312

Provider Business Practice Location Address
First Line	:	3655 RIDGE MILL DR
Second Line	:
City	:	HILLIARD
State	:	OH
Zip	:	43026-7752
Country	:	US
Telephone Number	:	614-921-9300
Fax Number	:	614-921-9312

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2006
Last Update Date	:	06/30/2010

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