Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | OS015396 | PA |
NPI | 1215199385 |
---|---|
Provider Name | Chad Alan Griffith |
First Address | York, PA 17403-2608 |
Second Address | York, PA 17403-2608 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2008 |
Last Update Date | 01/03/2012 |