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John Grissom, M.D

NPI 1598789513 · on the registry since 2006

Practice

Address
3066 E Meridian Park Loop # 1
Wasilla, AK 99654
Phone
(907) 373-9460
Fax
(907) 373-9461

Registry record

Primary taxonomy
208VP0014X
208VP0014X
Also registered as
208VP0014X
207L00000X
Licence states on file
ID, AK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-11-05

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 Alaska