Individual
DAVID B GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
500 BURLINGTON RD, JACKSON, OH 45640-9360
(855) 446-5937
(740) 395-8519
Mailing address
500 BURLINGTON RD, JACKSON, OH 45640-9360
(855) 446-5937
(740) 395-8519
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
42699
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.01721-NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065977000
—
WV
05
—
0752074
—
OH
Enumeration date
10/14/2006
Last updated
11/15/2023
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