Provider Demographics
NPI:1841543253
Name:GRIGGS ORTHOPEDICS PC
Entity type:Organization
Organization Name:GRIGGS ORTHOPEDICS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RHETT
Authorized Official - Middle Name:JACKSON
Authorized Official - Last Name:GRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:970-964-8472
Mailing Address - Street 1:PO BOX 1875
Mailing Address - Street 2:433 SIXTH STREET
Mailing Address - City:CRESTED BUTTE
Mailing Address - State:CO
Mailing Address - Zip Code:81224-1875
Mailing Address - Country:US
Mailing Address - Phone:970-349-5103
Mailing Address - Fax:970-349-5105
Practice Address - Street 1:433 SIXTH STREET
Practice Address - Street 2:
Practice Address - City:CRESTED BUTTE
Practice Address - State:CO
Practice Address - Zip Code:81230
Practice Address - Country:US
Practice Address - Phone:970-964-8472
Practice Address - Fax:800-395-5972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-23
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO49615207Q00000X
CO46388207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty