Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN THOMAS GRISSOM II, M.D.
ActiveJOHN THOMAS GRISSOM II, M.D. is a Interventional Vascular Surgery healthcare provider located in WASILLA, Alaska. NPI 1598789513 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · WASILLA, AK
Registration Details
- NPI Number
- 1598789513
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2006 (20.06448104685 yrs)
- Last Updated
- Nov 5, 2012
- Licenses
-
M-7402 (ID)6558 (AK)6558 (AK)
Practice Information
- Address
-
3066 E MERIDIAN PARK LOOP # 1WASILLA, AK, 996547299Browse AK providers · Browse ZIP 99654
- Phone
- 9073739460
- Fax
- 9073739461
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Anesthesiology
- Additional Specialty
- Interventional Vascular Surgery
Other Interventional Vascular Surgery Providers in WASILLA, AK
| Name | Credential | NPI |
|---|---|---|
| ERIC F SEVERSON | PA-C | 1790776599 |
| ANDREW RICHARD JACONETTE | M.D. | 1487778304 |
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.