Organization
GRITMAN MEDICAL CENTER INC
Active
Other names
Gritman Internal Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK MCCONNELL (INTERM CFO)
(208) 883-2220
Entity
Organization
Contact information
Practice address
804 S WASHINGTON ST STE A, MOSCOW, ID 83843-3182
(208) 883-1152
(208) 882-1486
Mailing address
PO BOX 8007, MOSCOW, ID 83843-0507
(208) 883-1152
(208) 883-6580
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39
ID
Other
Enumeration date
10/20/2016
Last updated
10/24/2016
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