Organization · Type 2 NPI

Joseph Daniel Grimes

Primary Care Clinic/Center · Fairbanks, AK

NPI number 1043678758 Active

Practice location

1650 Cowles St
Fairbanks, AK 99701-5907

Mailing address

132 Foran Cir
Fairbanks, AK 99712-2404

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300X108130 (AK)

Primary Care Clinic/Center: Definition to come...

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About NPI 1043678758

Joseph Daniel Grimes's National Provider Identifier is 1043678758, issued on Feb 9, 2016. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Fairbanks, AK. The record was last updated on Feb 9, 2016.