| Gritman Internal Medicine Clinic | |
|
804 S Washington St Ste A Moscow ID 83843-3182 | |
| (208) 883-1152 | |
| (208) 882-1486 |
| Full Name | Gritman Internal Medicine Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 804 S Washington St Ste A, Moscow, Idaho |
| Authorized Official Name and Position | Preston J Becker (CFO) |
| Authorized Official Contact | 2088832221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gritman Internal Medicine Clinic 700 S Main St Moscow ID 83843-3056 Ph: (208) 882-4511 | Gritman Internal Medicine Clinic 804 S Washington St Ste A Moscow ID 83843-3182 Ph: (208) 883-1152 |
| NPI Number | 1790182590 |
|---|---|
| Provider Enumeration Date | 11/24/2014 |
| Last Update Date | 12/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790182590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 39 (Idaho) | Primary |
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