IndividualActive
Fernando Grigera, MD
NPI 1770579658 · Cardiovascular Disease Physician · Pocatello, ID
Provider details
- NPI number
- 1770579658
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M9142 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
777 Hospital Way Bldg a
Ste. 101
Pocatello, ID 83201-2753
Phone: (208) 234-2001
Fax: (208) 232-2195
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 4168
Pocatello, ID 83205-4168
Registry dates
- Enumerated
- 2005-09-26
- Last updated
- 2011-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.