Individual
DR. JUDITH BYNUM GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4600 ROGERS AVE, FORT SMITH, AR 72903-3149
(479) 494-7443
Mailing address
464847 E 1098 RD, SALLISAW, OK 74955-5320
(318) 794-9937
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-9002
AR
207Q00000X
Family Medicine Physician
MD.14759R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030477389
HUMANA
LA
05
—
1438154
—
LA
Enumeration date
05/12/2006
Last updated
04/26/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us