Whalio Doctors

NPI 1003967696

Mark H. Grimm, MD

Practitioner Pulmonary Disease Physician Springfield, MO

Practice location

Address
3231 S National Ave, Springfield, MO 65807-7304
Phone
(417) 888-5696
Fax
(417) 888-6711
Mailing address
PO Box 2580, Springfield, MO 65801-2580

Registered specialties

Pulmonary Disease Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207RP1001X Licence 103150 (MO)

Registry record

NPI
1003967696
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Jan 2007
Record last updated
13 May 2013

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.