Individual
DR. ADAM STEPHEN GRIMALDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6140 W CURTISIAN AVE STE 100, BOISE, ID 83704-0109
(208) 302-0000
(208) 302-0055
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642-1026
(208) 302-9342
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2222
MD
207RC0000X
Cardiovascular Disease Physician
M-15460
ID
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
M-15460
ID
Other
Enumeration date
04/03/2013
Last updated
01/06/2023
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