Individual
MR. CHRIS M GRISAFFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
1010 N ORCHARD ST STE 8, BOISE, ID 83706-2255
(208) 331-4097
(208) 331-4095
Mailing address
1010 N ORCHARD ST STE 8, BOISE, ID 83706-2255
(208) 331-4097
(208) 331-4095
Taxonomy
Speciality
Code
Description
License number
State
246QL0900X
Laboratory Management Specialist/Technologist
Primary
P1869
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295917375
—
ID
Enumeration date
04/24/2015
Last updated
04/24/2015
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