Graduated: 2002
NPI: 1255400388
Practice Locations (2)
GRITMAN MEDICAL CENTER INC
623 S MAIN ST
MOSCOW, ID 838432983
2088822011
GRITMAN MEDICAL CENTER INC
623 S MAIN ST, SUITE 1
MOSCOW, ID 838432983
2088822011
Source: CMS National Downloadable File, September 2026.