OrganizationActive
Gritman Medical Center Inc
NPI 1013556596 · Interventional Pain Medicine Physician · Moscow, ID
Provider details
- NPI number
- 1013556596
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Danielle Lynas, Cfo
Practice location
804 S Washington St Ste a
Moscow, ID 83843-3182
Phone: (208) 883-6700
Mailing address
700 S Main St
Moscow, ID 83843-3046
Registry dates
- Enumerated
- 2019-12-31
- Last updated
- 2019-12-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.