Provider Demographics
NPI:1720592967
Name:GRIFFITH, MELISSA JEAN (CCP)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:JEAN
Last Name:GRIFFITH
Suffix:
Gender:F
Credentials:CCP
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Mailing Address - Street 1:2753 E BROADWAY RD # 101-454
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85204-1579
Mailing Address - Country:US
Mailing Address - Phone:480-659-6964
Mailing Address - Fax:480-659-6791
Practice Address - Street 1:3555 S VAL VISTA DR
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-7323
Practice Address - Country:US
Practice Address - Phone:480-728-7163
Practice Address - Fax:602-798-9758
Is Sole Proprietor?:No
Enumeration Date:2017-11-27
Last Update Date:2017-11-27
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes242T00000XTechnologists, Technicians & Other Technical Service ProvidersPerfusionist