NPI 1598789513

John Thomas Grissom, MD

Practitioner Interventional Pain Medicine Physician Wasilla, AK

Practice location

Address: 3066 E Meridian Park Loop # 1, Wasilla, AK 99654-7299
Phone: (907) 373-9460
Fax: (907) 373-9461
Mailing address: PO Box 951027, South Jordan, UT 84095-1027

Registered specialties (3)

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 6558 (AK)

Other Pain Medicine providers in Alaska →

Interventional Pain Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence M-7402 (ID)

Anesthesiology Physician

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 6558 (AK)

Other Anesthesiology providers in Alaska →

Registry record

NPI: 1598789513
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jul 2006
Record last updated: 5 Nov 2012

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.