Organization
ELEMENTAL PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ALAN GRIMES MD (OWNER/MANAGING MEMBER)
(816) 582-3549
Entity
Organization
Contact information
Practice address
116 N MAIN ST, PLATTSBURG, MO 64477-1236
(816) 436-1036
Mailing address
19716 NE 197TH TER, SMITHVILLE, MO 64089-7808
(816) 582-3549
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
03/30/2026
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