Individual
DR. JONATHAN EZRA GRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1660 S COLUMBIAN WAY, VA PUGET SOUND HEALTH CARE SYSTEM (S-111-ONC), SEATTLE, WA 98108-1532
(206) 667-7994
(206) 667-5255
Mailing address
1660 S COLUMBIAN WAY, VA PUGET SOUND HEALTH CARE SYSTEM (S-111-ONC), SEATTLE, WA 98108-1532
(206) 667-7994
(206) 667-5255
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
MD00040300
WA
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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