JERRY WADE GRISE

COLUMBIA, MO
NPI1154621787
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: TN  2933)
Enumeration Date2010-10-29
Last Update Date2010-10-29
Business Address
Dr. JERRY WADE GRISE M.D.
2405 SNOWBERRY CIR
COLUMBIA, MO 65201-3576
Phone number: 573-442-0003
Mailing Address
Dr. JERRY WADE GRISE M.D.
1661 INTERNATIONAL PLACE DRIVE SUITE 350
MEMPHIS, TN 38120
Phone number: 901-685-2696
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