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Individual
DR. RUSSELL SCOTT GRIMES
Active
Individual
DR. RUSSELL SCOTT GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2006000709
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004030044
PTAN
KS
05
—
10029888302
—
NE
01
—
1588635361
BLUE CROSS AND BLUE SHIELD OF KANSAS
KS
05
—
30005286470001
—
KS
Enumeration date
01/30/2006
Last updated
03/11/2026
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