Grimball & Richert Clinic

NPI #1194717892 in Sulphur, Louisiana

Provider Information

NPI Number: 1194717892
Entity Type: Organization
Organization Name: Grimball & Richert Clinic
Primary Specialty: Family Medicine
Enumeration Date: Aug 18, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 920 1ST AVE
City: Sulphur
State: Louisiana
ZIP Code: 70663-3425
Phone: (337) 527-6301

Authorized Official

Name: DR. ROGER G GRIMBALL, MD
Title: PRESIDENT
Phone: (337) 527-6301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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