Individual
DR. ROBERT D GRIGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
943 LINDER RD, STE 102, KUNA, ID 83634-3394
(208) 922-3060
(208) 922-1228
Mailing address
762 E WYTHE CREEK CT, STE 102, KUNA, ID 83634-5215
(208) 922-3060
(208) 922-1228
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-1057
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8062500
—
ID
Enumeration date
07/28/2006
Last updated
01/03/2017
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