Gritman Medical Center INC

NPI #1235680703 in Moscow, Idaho

Provider Information

NPI Number: 1235680703
Entity Type: Organization
Organization Name: Gritman Medical Center INC
Primary Specialty: Internal Medicine
Enumeration Date: Oct 20, 2016
Last Updated: Oct 24, 2016

Practice Location

Address: 804 S WASHINGTON ST STE A
City: Moscow
State: Idaho
ZIP Code: 83843-3182
Phone: (208) 883-1152

Authorized Official

Name: MR. PATRICK MCCONNELL
Title: INTERM CFO
Phone: (208) 883-2220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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