Individual
KRYSTLE BETH GROTHJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
211 W FOREST STREET, MCCALL, ID 83638-9998
(208) 630-2219
Mailing address
PO BOX 1983, MCCALL, ID 83638-9998
(208) 792-7274
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
57716
ID
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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