Individual
DR. GRANT B BELNAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1032 S BRIDGE WAY PL, SUITE 100, EAGLE, ID 83616-6099
(208) 246-0123
(208) 246-0125
Mailing address
1032 S BRIDGEWAY PLACE, SUITE 100, EAGLE, ID 83616
(208) 246-0123
(208) 246-0125
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
M7357
ID
2084P0800X
Psychiatry Physician
M7357
ID
2084P0802X
Addiction Psychiatry Physician
Primary
M7357
ID
Other
Enumeration date
02/07/2007
Last updated
06/20/2012
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