IndividualActive
Debbie Grissom, MD
NPI 1831156629 · Obstetrics Physician · Boise, ID
Provider details
- NPI number
- 1831156629
- Entity type
- Individual
- Primary specialty
- Obstetrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- M9540 (ID)
Practice location
100 E Idaho St
Suite 302
Boise, ID 83712-6267
Phone: (208) 343-7501
Fax: (208) 336-8248
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Registry dates
- Enumerated
- 2006-04-27
- Last updated
- 2013-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.