IndividualActive
Nathan Grimm, M.D.
NPI 1417376344 · Sports Medicine (Orthopaedic Surgery) Physician · Boise, ID
Provider details
- NPI number
- 1417376344
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- M-15091 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1188 W University Dr
Boise, ID 83706-3009
Phone: (208) 336-8250
Fax: (208) 345-9514
Approximate (ZIP-level) locationGet directions
Mailing address
1188 W University Dr
Boise, ID 83706-3009
Additional practice locations (1)
- 600 N Robbins Rd Ste 100Boise, ID 83702-4564Phone: (208) 706-2663
Registry dates
- Enumerated
- 2014-04-08
- Last updated
- 2023-01-26
- Certified
- 2023-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.