Organization
GRIMBALL & RICHERT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER G GRIMBALL MD (PRESIDENT)
(337) 527-6301
Entity
Organization
Contact information
Practice address
920 1ST AVE, SULPHUR, LA 70663-3425
(337) 527-6301
(337) 527-9194
Mailing address
920 1ST AVE, SULPHUR, LA 70663-3425
(337) 527-6301
(337) 527-9194
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/18/2005
Last updated
08/22/2020
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