# JOSEPH DANIEL GRIMES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043678758
- **Authorized official:** MR. JOSEPH GRIMES ANP (NURSE PRACTITIONER)
- **Authorized official phone:** (907) 750-2587

## Contact information

- **Practice address:** 1650 COWLES ST, FAIRBANKS, AK 99701-5907
- **Practice address phone:** (907) 458-3345
- **Mailing address:** 132 FORAN CIR, FAIRBANKS, AK 99712-2404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | 108130 | AK | Yes |

## Other

- **Enumeration date:** 02/09/2016
- **Last updated:** 02/09/2016