Individual
DEBBIE L GRISSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 E IDAHO ST, SUITE 302, BOISE, ID 83712-6267
(208) 343-7501
(208) 336-8248
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 343-7501
(208) 336-8248
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
M9540
ID
Other
Enumeration date
04/27/2006
Last updated
10/30/2013
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