NPI 1013556596

Gritman Medical Center INC

Organisation Interventional Pain Medicine Physician Moscow, ID

Practice location

Address: 804 S Washington St STE a, Moscow, ID 83843-3182
Phone: (208) 883-6700
Mailing address: 700 S Main St, Moscow, ID 83843-3046

Authorised official

Name: Danielle Lynas
Title: Cfo
Phone: (208) 883-2220

Registered specialties

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

Other Pain Medicine providers in Idaho →

Registry record

NPI: 1013556596
Entity type: Organization
NPI issued: 31 Dec 2019
Record last updated: 31 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.