Provider Demographics
NPI:1578050266
Name:GRIGG, WILLIAM SPENCER (DO)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:SPENCER
Last Name:GRIGG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:601 ELMWOOD AVENUE
Mailing Address - Street 2:BOX 679
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642
Mailing Address - Country:US
Mailing Address - Phone:858-275-4290
Mailing Address - Fax:585-473-1573
Practice Address - Street 1:601 ELMWOOD AVENUE
Practice Address - Street 2:BOX 679
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642
Practice Address - Country:US
Practice Address - Phone:858-275-4290
Practice Address - Fax:585-473-1573
Is Sole Proprietor?:No
Enumeration Date:2018-04-18
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COTL.0007279207R00000X, 390200000X
CODR.0062850208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program