Individual provider · Type 1 NPI

Jerry Wade Grise, MD

Diagnostic Radiology Physician · Columbia, MO

NPI number 1154621787 Active

Practice location

2405 Snowberry Cir
Columbia, MO 65201-3576

Call (573) 442-0003 Map

Mailing address

1661 International Place Drive, Suite 350
Memphis, TN 38120

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X2933 (TN)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1154621787

Jerry Wade Grise, MD's National Provider Identifier is 1154621787, issued on Oct 29, 2010. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Columbia, MO. The record was last updated on Oct 29, 2010.