Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | A122583 | CA |
N | 207X00000X | Orthopaedic Surgeon | M-13252 | ID |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | A122583 | CA |
NPI | 1770832230 |
---|---|
Provider Name | Dr. Matthew J Griffin |
First Address | Salinas, CA 93901-4391 |
Second Address | Salinas, CA 93901-4391 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2012 |
Last Update Date | 04/06/2019 |