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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK GRIMMETT, PA-C

Active Sole Proprietor

MARK GRIMMETT, PA-C is a Medical Physician Assistant healthcare provider located in TEMPE, Arizona. NPI 1184605842 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · TEMPE, AZ

Registration Details

NPI Number
1184605842
Provider Type
Individual
Gender
Male
NPI Issued
Nov 9, 2005 (20.57539421151 yrs)
Last Updated
Mar 20, 2018
Licenses
7209350001 (AZ)
7047150001 (AZ)
7045160001 (AZ)
7046960001 (AZ)
7629170001 (AZ)
Sole Proprietor
Yes

Practice Information

Address
2145 E WARNER RD STE 104
TEMPE, AZ, 852843549
Browse AZ providers · Browse ZIP 85284
Phone
4806649443
Fax
4806649378
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in TEMPE, AZ

Name Credential NPI
REBECCA ALVAREZ PA-C 1427057140
NABOR RIOS MS, PA-C 1841269701
PENNY BURKERT P.A.-C. 1477565943
MS. GENOWEFA H SARKO PA-C 1225139322
MS. CAROLYN A SMITH PA-C 1558462614
MRS. CARISSA DAWN BRIDDLE PA-C 1376635581
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.