Individual
JASON N GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-3627
Mailing address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-3627
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
92598
SC
Other
Enumeration date
07/07/2023
Last updated
12/17/2024
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