NPI 1043678758

Joseph Daniel Grimes

Organisation Primary Care Clinic/Center Fairbanks, AK

Practice location

Address: 1650 Cowles St, Fairbanks, AK 99701-5907
Phone: (907) 458-3345
Mailing address: 132 Foran Cir, Fairbanks, AK 99712-2404

Authorised official

Name: Joseph Grimes
Title: Nurse Practitioner
Phone: (907) 750-2587

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X Licence 108130 (AK)

Other Clinic/Center providers in Alaska →

Registry record

NPI: 1043678758
Entity type: Organization
NPI issued: 9 Feb 2016
Record last updated: 9 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.