Individual
RORY GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7904 E. CHAPPARRAL RD., SCOTTSDALE, AZ 86150
(602) 791-9808
Mailing address
1855 E SOUTHERN AVE, MESA, AZ 85204-5241
(480) 217-2502
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
453707036
TAX ID
AZ
Enumeration date
02/20/2019
Last updated
02/20/2019
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