Individual
DR. JOHN HAROLD GRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2860 CHANNING WAY STE 221, IDAHO FALLS, ID 83404-7541
(208) 535-4000
(208) 535-4014
Mailing address
PO BOX 742337, ATLANTA, GA 30374-2337
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
O1384
ID
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
O1384
ID
208M00000X
Hospitalist Physician
O1384
ID
Other
Enumeration date
09/23/2009
Last updated
03/03/2022
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