Individual
DR. IRINA IVANOVNA GRIMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2925 DEBARR ROAD, BUILDING D, SUITE 215, ANCHORAGE, AK 99508
(907) 764-3292
(907) 272-6751
Mailing address
2925 DEBARR ROAD, BUILDING D, SUITE 215, ANCHORAGE, AK 99508
(907) 764-3292
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5449
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5449
STATE MEDICAL LICENSE
AK
05
—
MD5525
—
AK
Enumeration date
10/02/2006
Last updated
03/07/2023
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