Gritman Medical Center INC

NPI #1013556596 in Moscow, Idaho

Provider Information

NPI Number: 1013556596
Entity Type: Organization
Organization Name: Gritman Medical Center INC
Primary Specialty: Pain Medicine - Interventional Pain Medicine
Enumeration Date: Dec 31, 2019
Last Updated: Dec 31, 2019

Practice Location

Address: 804 S WASHINGTON ST STE A
City: Moscow
State: Idaho
ZIP Code: 83843-3182
Phone: (208) 883-6700

Authorized Official

Name: DANIELLE LYNAS
Title: CFO
Phone: (208) 883-2220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine	208VP0014X	Primary

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