Organization
GRITMAN MEDICAL CENTER INC
Active
Organization
GRITMAN MEDICAL CENTER INC
Active
Parent organization
GRITMAN MEDICAL CENTER INC
Other names
GRITMAN NEUROSURGERY
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRITMAN MEDICAL CENTER INC
Authorized official
DANIELLE LYNAS (GRITMAN CFO)
(208) 883-2220
Entity
Organization
Contact information
Practice address
803 S MAIN ST STE 320, MOSCOW, ID 83843-2695
(208) 883-1008
(208) 883-4563
Mailing address
PO BOX 8007, MOSCOW, ID 83843-0507
(208) 883-6359
(208) 892-3714
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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