| Joseph Daniel Grimes | |
|
1650 Cowles St Fairbanks AK 99701-5907 | |
| (907) 458-3345 | |
| Not Available |
| Full Name | Joseph Daniel Grimes |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1650 Cowles St, Fairbanks, Alaska |
| Authorized Official Name and Position | Joseph Grimes (NURSE PRACTITIONER) |
| Authorized Official Contact | 9077502587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Daniel Grimes 132 Foran Cir Fairbanks AK 99712-2404 Ph: () - | Joseph Daniel Grimes 1650 Cowles St Fairbanks AK 99701-5907 Ph: (907) 458-3345 |
| NPI Number | 1043678758 |
|---|---|
| Provider Enumeration Date | 02/09/2016 |
| Last Update Date | 02/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043678758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 108130 (Alaska) | Primary |
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