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1588664700

NPI Code Detail

MEDICARE: HOWARD PHILIP GRILL MD

MEDICARE: HOWARD PHILIP GRILL 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	207RC0000X	Cardiovascular Disease Physician	MD045337E	PA
2	207RI0011X	Interventional Cardiology Physician	MD045337E	PA
3	207R00000X	Internal Medicine Physician	MD045337E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588664700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOWARD PHILIP GRILL MD

Provider Business Mailing Address
First Line	:	5456 NORTHUMBERLAND ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15217-1129
Country	:	US
Telephone Number	:	124-721-3539
Fax Number	:

Provider Business Practice Location Address
First Line	:	1775 THOMPSON RD BAY AREA
Second Line	:
City	:	COOS BAY
State	:	OR
Zip	:	97420-2125
Country	:	US
Telephone Number	:	541-269-8111
Fax Number	:

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

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	12/20/2019

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Directions to “ HOWARD PHILIP GRILL MD” Practice Location

Language	Start Address	Practice Location

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