Organization
GRITMAN MEDICAL CENTER INC
Active
Other names
Gritman GI Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE LYNAS (CFO)
(208) 883-2220
Entity
Organization
Contact information
Practice address
2400 W A ST STE G, MOSCOW, ID 83843-4902
(208) 882-4511
(208) 883-6580
Mailing address
PO BOX 8007, MOSCOW, ID 83843-0507
(208) 882-4511
(208) 883-6580
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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