Basic Information
| Provider Information | |||||||||
| NPI: | 1801955034 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MCGRIFF | ||||||||
| FirstName: | PATRICK | ||||||||
| MiddleName: | K | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8291 TEGMEN ST | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432406073 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6144041024 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5175 E MAIN ST | ||||||||
| Address2: | PREMIUM MEDICAL CARE, LLC | ||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432132425 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6145751200 | ||||||||
| FaxNumber: | 6145759405 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/06/2006 | ||||||||
| LastUpdateDate: | 01/22/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 34006573M | OH | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.