Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JD GRISTE, MD
ActiveDR. JD GRISTE, MD is a Neuroradiology healthcare provider located in SANTA FE, New Mexico. NPI 1588684831 is currently active in the NPPES registry. Verify at CMS.
Neuroradiology · SANTA FE, NM
Registration Details
- NPI Number
- 1588684831
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 20, 2006 (20.096895630926 yrs)
- Last Updated
- Mar 18, 2008
- Licenses
-
94-258 (NM)94-258 (NM)
Practice Information
- Address
-
1640 HOSPITAL DRSANTA FE, NM, 875054754Browse NM providers · Browse ZIP 87505
- Phone
- 5059839350
- Fax
- 5059558763
- Primary Specialty
-
Neuroradiology
2085N0700X
- Additional Specialty
- Diagnostic Radiology
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.