NPI 1083751366

Jeffrey Wayne Grossman, MD

Practitioner Diagnostic Radiology Physician Coeur D Alene, ID

Practice location

Address: 2031 E Mountain Vista Dr, Coeur D Alene, ID 83815-9683
Phone: (208) 570-3342
Mailing address: 22100 Bothell Everett Hwy, Bothell, WA 98021-8431

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence M-10276 (ID)

Other Radiology providers in Idaho →

Registry record

NPI: 1083751366
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jan 2007
Record last updated: 6 Jul 2023

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.