Individual
MATTHEW GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-5000
Mailing address
2496 BAUER ROAD, SAN DIEGO, CA 92145-0001
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
0102205742
VA
Other
Enumeration date
01/29/2018
Last updated
04/10/2023
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