MEDICARE: DR. CEABERT J GRIFFITH PA-C, N.D.

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	175F00000X	Naturopath	NAT1000561	DC
2	363AM0700X	Medical Physician Assistant	002478	NY

General Provider Information

NPI Number	:	1861469991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CEABERT J GRIFFITH PA-C, N.D.

Provider Business Mailing Address
First Line	:	PSC 557 BOX 2873
Second Line	:
City	:	FPO
State	:	AP
Zip	:	96379
Country	:	JP
Telephone Number	:	011816117453910
Fax Number	:

Provider Business Practice Location Address
First Line	:	PSC 557 BOX 2873
Second Line	:
City	:	FPO
State	:	AP
Zip	:	96379
Country	:	JP
Telephone Number	:	011816117453910
Fax Number	:

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

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	09/11/2025

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