MEDICARE: DR. JOHN GRIFFITH 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	207VG0400X	Gynecology Physician	61485681205	UT
2	207VX0000X	Obstetrics Physician	61485681205	UT

General Provider Information

NPI Number	:	1235191933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN GRIFFITH MD

Provider Business Mailing Address
First Line	:	175 N 100 W
Second Line	:	SUITE 103
City	:	VERNAL
State	:	UT
Zip	:	84078-2049
Country	:	US
Telephone Number	:	435-781-1099
Fax Number	:	435-781-1090

Provider Business Practice Location Address
First Line	:	175 N 100 W
Second Line	:	SUITE 103
City	:	VERNAL
State	:	UT
Zip	:	84078-2049
Country	:	US
Telephone Number	:	435-781-1099
Fax Number	:	435-781-1090

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

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	09/11/2025

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Directions to “ DR. JOHN GRIFFITH MD” Practice Location

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