Landon Kelly Grange, M.D.

NPI #1043620255 in Boise, Idaho

Provider Information

NPI Number: 1043620255
Entity Type: Individual
Name: Landon Kelly Grange, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Credential: M.D.
Enumeration Date: Apr 28, 2014
Last Updated: Jul 26, 2018

Practice Location

Address: 5680 W GAGE ST
City: Boise
State: Idaho
ZIP Code: 83706
Phone: (208) 773-3937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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