Gritman Medical Center INC

NPI #1134708159 in Moscow, Idaho

Provider Information

NPI Number: 1134708159
Entity Type: Organization
Organization Name: Gritman Medical Center INC
Primary Specialty: Surgery
Enumeration Date: Apr 6, 2021
Last Updated: May 5, 2021

Practice Location

Address: 2400 W A ST STE G
City: Moscow
State: Idaho
ZIP Code: 83843-4902
Phone: (208) 883-1177

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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