Individual
COLLIN GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3501 WE KNIGHT DR, FORT SMITH, AR 72903-6254
(479) 409-6700
Mailing address
2901 S 74TH ST, FORT SMITH, AR 72903-5156
(479) 709-6700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/01/2016
Last updated
10/03/2016
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