Individual
ZACHARY RONALD GRUNIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
287 W JEFFERSON ST, BOISE, ID 83702-6045
(208) 322-1680
(208) 385-7708
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2164
ID
Other
Enumeration date
04/25/2016
Last updated
11/11/2025
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