Gritman Medical Center INC

NPI #1487428447 in Moscow, Idaho

Provider Information

NPI Number: 1487428447
Entity Type: Organization
Organization Name: Gritman Medical Center INC
Subpart: Yes (part of a larger organization)
Parent Organization: GRITMAN MEDICAL CENTER INC
Primary Specialty: Neurological Surgery
Enumeration Date: Nov 9, 2023
Last Updated: Nov 9, 2023

Practice Location

Address: 803 S MAIN ST STE 320
City: Moscow
State: Idaho
ZIP Code: 83843-2695
Phone: (208) 883-1008

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neurological Surgery	207T00000X	Primary

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