Individual
DR. ROBERT JEFF GRONDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 273-7700
(702) 565-8898
Mailing address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 273-7700
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M16347
ID
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
M16347
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002019572
—
NV
01
—
200030368
RAILROAD MEDICARE
NV
Enumeration date
08/05/2006
Last updated
10/28/2025
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