Individual
ASHLEY GRIMM DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1792 W 1700 S, SYRACUSE, UT 84075-9645
(801) 773-8644
Mailing address
1792 W 1700 S, SYRACUSE, UT 84075-9645
(801) 773-8644
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11149871-1205
UT
Other
Enumeration date
12/06/2017
Last updated
05/20/2022
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