Griste, Jd

Griste, Jd is an individual health care provider with primary practice located at 1640 Hospital Dr , Santa Fe NM 87505-4754. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Griste, Jd can be contacted via phone (505) 983-9350.

Contact Information

Primary practice address
1640 Hospital Dr Santa Fe NM 87505-4754
Phone: (505) 983-9350
Fax: (505) 955-8763
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 94-258 New Mexico
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 94-258 New Mexico

Profile Details

NPI number 1588684831
LBN Legal business name Griste, Jd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Mar 18th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588684831 NPPES
New Mexico MEDICAID 20568

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