Provider Demographics
NPI:1902835267
Name:GRIGGS, DOROTHY MIRIAM (MD)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:MIRIAM
Last Name:GRIGGS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8994 E DESERT COVE AVE
Mailing Address - Street 2:SUITE #110
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-7901
Mailing Address - Country:US
Mailing Address - Phone:480-614-5659
Mailing Address - Fax:480-614-5676
Practice Address - Street 1:8994 E DESERT COVE AVE
Practice Address - Street 2:STE 110
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-7901
Practice Address - Country:US
Practice Address - Phone:480-614-5659
Practice Address - Fax:480-614-5676
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ28360208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ125985Medicare PIN
AZZ69262Medicare PIN
AZP00026434Medicare PIN
H27565Medicare UPIN