Individual provider · Type 1 NPI

Gage Grispino

Student in an Organized Health Care Education/Training Program · Maryville, MO

NPI number 1649866005 Active

Practice location

24694 Hawk Rd
Maryville, MO 64468-8185

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1649866005

Gage Grispino's National Provider Identifier is 1649866005, issued on Dec 18, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Maryville, MO. The record was last updated on Dec 18, 2020.