Individual
ROBIN ODENCE GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
290 BAKER AVE, CONCORD, MA 01742-2189
(978) 369-1337
Mailing address
77 CEDAR CREEK RD, SUDBURY, MA 01776-1004
(978) 443-6195
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
676
MA
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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