Leslie E. Grissom in Rockland - Pediatric Radiology

Leslie E. Grissom - NPI 1225120108

Leslie E. Grissom is a Pediatric Radiology in Rockland, Delaware. Leslie E. Grissom practices all healthcare services and medical treatments related to Pediatric Radiology. The NPI Number for Leslie E. Grissom is 1225120108. The last update date is 2013-02-04.

Leslie E. Grissom's current location address is Po Box 191, Rockland, Delaware. You can contact this provider via phone number 3026516212 and fax number 3026514945. The mailing address for Leslie E. Grissom is Po Box 191, Rockland, Delaware. To know further, please read the information below!

Provider Profile Detail

Provider Name Leslie E. Grissom
Address Po Box 191, Rockland, Delaware
Phone Number 3026516212
Fax Number 3026514945
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1225120108
Provider Enumeration Date 2006-09-29
Last Updated Date 2013-02-04

Provider Mailing Address Detail

Address Po Box 191
City Rockland
State Delaware (DE)
Post Code 197320191
Phone Number 3026516212
Fax Number 3026514945

Provider's Primary Taxonomy Detail

Speciality Pediatric Radiology
Taxonomy 2085P0229X
Licence No C10002480
Definition:
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the ca

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
XPY196074 CA --
1165522 LA --
5166608 NJ --
64195951 KY --
806321200 ID --
1437681 NY --
7709013 MD --
1197564 PA --
510123 IA --

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FAQs about Leslie E. Grissom

What is the unique identifier code issued to Leslie E. Grissom by the Centers for Medicare & Medicaid Services?

The Leslie E. Grissom has been assigned the NPI (National Provider Identifier) 1225120108. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Leslie E. Grissom is geographically located?

The Leslie E. Grissom is physically situated at the following location: Po Box 191, Rockland, DE, 197320191.

What is the Leslie E. Grissom's area of specialization and corresponding taxonomy classification?

The Leslie E. Grissom's specialty field is Pediatric Radiology, and it falls under the taxonomy code 2085P0229X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1225120108 to Leslie E. Grissom?

The Centers for Medicare & Medicaid Services assigned the 1225120108 to Leslie E. Grissom on 2006-09-29.

When was the information related to Leslie E. Grissom most recently updated or refreshed?

The details pertaining to the Leslie E. Grissom, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-02-04.

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