OrganizationActive
Gritman Medical Center Inc
NPI 1487428447 · Neurological Surgery Physician · Moscow, ID
Provider details
- NPI number
- 1487428447
- Entity type
- Organization
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Gritman Medical Center Inc
- Authorized official
- Danielle Lynas, Gritman Cfo
Practice location
803 S Main St Ste 320
Moscow, ID 83843-2695
Phone: (208) 883-1008
Fax: (208) 883-4563
Mailing address
Po Box 8007
Moscow, ID 83843-0507
Registry dates
- Enumerated
- 2023-11-09
- Last updated
- 2023-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.