Individual
GARY A. GRIMALDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2701 S. ROUSE, STE. A, PITTSBURG, KS 66762
(620) 235-7605
(620) 231-0081
Mailing address
2701 S. ROUSE, PITTSBURG, KS 66762
(620) 232-0273
(620) 231-7602
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
04-16408
KS
207VX0000X
Obstetrics Physician
Primary
0416408
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100128140A
—
KS
Enumeration date
09/16/2006
Last updated
02/13/2014
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