Organization
DUVALL ADVANCED FAMILY EYECARE, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADFORD B GRIMM O.D. (PRESIDENT)
(425) 788-2990
Entity
Organization
Contact information
Practice address
14610 MAIN ST NE, SUITE 101, DUVALL, WA 98019-8469
(425) 788-2990
(425) 650-9896
Mailing address
14610 MAIN ST NE, SUITE 101, DUVALL, WA 98019-8469
(425) 788-2990
(425) 650-9896
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3154-TX
WA
Other
Enumeration date
03/07/2007
Last updated
03/25/2008
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