Individual
MR. DANIEL V GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1611 W MAIN ST, BOWLING GREEN, MO 63334-1132
(618) 780-5039
Mailing address
1611 W MAIN ST, BOWLING GREEN, MO 63334-1132
(618) 780-5039
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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