Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 0101243681 | VA |
NPI | 1033280813 |
---|---|
Provider Name | Matthew H Griffith |
First Address | Sterling, VA 20166-6580 |
Second Address | Sterling, VA 20166-6580 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2006 |
Last Update Date | 14/04/2021 |