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Contact Information

JERRY W GRISE, MD
2405 SNOWBERRY CIR
COLUMBIA, MO65201-3576
 Phone: 573-442-0003
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for JERRY W GRISE · (Male)

NPI Number 1154621787
Status Active
Credentials MD
Entity Individual
Enumeration date 10/29/2010
Last updated 10/29/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # 2933
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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