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Organization

GRITMAN MEDICAL CENTER INC

Active
Other names
Gritman Urology
Organization subpart
No

Provider details

NPI number
Authorized official
DANIELLE LYNAS (CFO)
(208) 883-2220
Entity
Organization

Contact information

Practice address
700 S MAIN ST, MOSCOW, ID 83843-3056
(208) 883-1846
(208) 892-1116
Mailing address
PO BOX 8007, MOSCOW, ID 83843-0507
(208) 883-2224

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Enumeration date
10/19/2022
Last updated
11/08/2022
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