Organization
GRITMAN MEDICAL CENTER INC
Active
Organization
GRITMAN MEDICAL CENTER INC
Active
Other names
Gritman Pulmonology
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANIELLE LYNAS (CFO)
(208) 883-2220
Entity
Organization
Contact information
Practice address
700 S MAIN ST, MOSCOW, ID 83843-3046
(208) 883-6779
(208) 883-8430
Mailing address
PO BOX 8007, MOSCOW, ID 83843-0507
(208) 883-6779
(208) 883-8430
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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