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Andrew Grivas

NPI 1285658815 · on the registry since 2006

Practice

Address
1406 Missouri Blvd Ste I
Jefferson City, MO 65109
Phone
(855) 976-1888

Additional practice sites

  • 435 Lifestyle Lane, Wildwood, GA

Registry record

Primary taxonomy
207R00000X
207R00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-04-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri