Individual
AMOS RICHARD GRIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5974 FASHION POINT DR STE 140, SOUTH OGDEN, UT 84403-4838
(801) 683-1062
(801) 295-5537
Mailing address
415 MEDICAL DR STE D101, BOUNTIFUL, UT 84010-8905
(801) 683-1062
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1180631-8900
UT
Other
Enumeration date
05/29/2018
Last updated
12/17/2020
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