Individual
BRIAN LEE GRIMWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
320 E 600 S, ST GEORGE, UT 84770-3949
(435) 688-4850
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 688-4850
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
02004612A
IN
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
10264745-1204
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/13/2006
Last updated
03/26/2018
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