| Gritman Medical Center Inc | |
|
2400 W A St Ste G Moscow ID 83843-4902 | |
| (208) 882-4511 | |
| (208) 883-6580 |
| Full Name | Gritman Medical Center Inc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 2400 W A St Ste G, Moscow, Idaho |
| Authorized Official Name and Position | Danielle Lynas (CFO) |
| Authorized Official Contact | 2088832220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gritman Medical Center Inc Po Box 8007 Moscow ID 83843-0507 Ph: (208) 882-4511 | Gritman Medical Center Inc 2400 W A St Ste G Moscow ID 83843-4902 Ph: (208) 882-4511 |
| NPI Number | 1437732492 |
|---|---|
| Provider Enumeration Date | 04/28/2021 |
| Last Update Date | 04/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437732492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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