Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 22886 | WV |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 50068 | AZ |
N | 2080N0001X | Neonatal-Perinatal Doctor | P1326 | TX |
NPI | 1003011370 |
---|---|
Provider Name | Dr. Pamela Sue Griffiths |
First Address | Phoenix, AZ 85018-2327 |
Second Address | Gilbert, AZ 85297-7323 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2007 |
Last Update Date | 10/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
22886 | WV BOARD OF MEDICINE (01) | WV |
50068 | ARIZONA STATE LICENSE (01) | AZ |
P1326 | STATE MEDICAL BOARD (01) | TX |