Gritman Medical Center INC

NPI #1538885652 in Moscow, Idaho

Provider Information

NPI Number: 1538885652
Entity Type: Organization
Organization Name: Gritman Medical Center INC
Primary Specialty: Urology
Enumeration Date: Oct 19, 2022
Last Updated: Nov 8, 2022

Practice Location

Address: 700 S MAIN ST
City: Moscow
State: Idaho
ZIP Code: 83843-3056
Phone: (208) 883-1846

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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