Gage Grispino
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Maryville, MO
NPI 1649866005 · NPPES record last updated Dec 18, 2020
Key facts
- NPI
- 1649866005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 24694 Hawk Rd
Maryville, MO 64468-8185 - Phone
- (660) 254-4459
- NPI assigned
- Dec 18, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
24694 Hawk Rd
Maryville, MO 64468-8185
Mailing address
24694 Hawk Rd
Maryville, MO 64468-8185
Phone (660) 254-4459
Other providers in Maryville, MO
- Anthony Christopher Grainger
- Valerie M Gray
- Bryan Robert Green
- Claire Christine Gregson
- Kelly Griffith
- Susan Kay Grispino
- Jason Scott Haer
- Jaelyn Kelly Haggard
- Addison Marie Hall
- Hallelujah Counseling LLC
All providers in Maryville, MO · Student in an Organized Health Care Education/Training Program in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.