Individual
GARY SCOTT GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
164 SOUTH 5TH, MONTPELIER, ID 83254
(208) 847-1630
(208) 847-4425
Mailing address
PO BOX 75, 930 BOISE STREET, MONTPELIER, ID 83254
(208) 847-3174
(208) 847-4425
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA125A
ID
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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