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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. RICKY D GRISSON II, M.D.

Active

Clinical Pathology/Laboratory Medicine · PROVIDENCE, RI

Registration Details

NPI Number
1093910606
Provider Type
Individual
Gender
Male
NPI Issued
Jun 15, 2007 (18.853902065426 yrs)
Last Updated
Oct 7, 2020
Licenses
L-232504 (MA)
A121170 (CA)
MD15414 (RI)

Practice Information

Address
117 ELLENFIELD ST STE 101
PROVIDENCE, RI, 029054541
Browse RI providers · Browse ZIP 02905
Phone
4014446779
Primary Specialty
Clinical Pathology/Laboratory Medicine
207ZP0105X

Other Clinical Pathology/Laboratory Medicine Providers in PROVIDENCE, RI

Name Credential NPI
JEFFREY A BAILEY MD PHD 1871799676
JAMES M BARBEAU MD 1275733511
DR. NICHOLAS HEGER PH.D. 1225475429
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.