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Organization

JOSEPH DANIEL GRIMES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSEPH GRIMES ANP (NURSE PRACTITIONER)
(907) 750-2587
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
108130
AK

Other

Enumeration date
02/09/2016
Last updated
02/09/2016
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