Whalio Doctors

NPI 1023212503

Ryan Grippo, MD

Practitioner Diagnostic Radiology Physician Fort Campbell, KY

Practice location

Address
650 Joel Dr, Fort Campbell, KY 42223
Phone
(270) 798-8333
Mailing address
67 Wyn Oak, Nashville, TN 37205-5000

Registered specialties

Diagnostic Radiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 46321 (TN)

Registry record

NPI
1023212503
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Jun 2007
Record last updated
16 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.