Individual
LEX KIYOSHI GRIMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5169 COTTONWOOD ST STE 520, MURRAY, UT 84107-6767
(801) 507-3500
Mailing address
2097 N SWEET CORN DR, SARATOGA SPRINGS, UT 84045-8239
(801) 471-4743
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7796272-1206
UT
Other
Enumeration date
01/27/2011
Last updated
01/27/2011
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