Individual
ANNA GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2115
Mailing address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2115
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
66948
WI
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
2021013348
MO
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
66948
WI
Other
Enumeration date
04/11/2011
Last updated
04/19/2021
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