Graduated: 2021
NPI: 1487222659
Practice Locations (2)
GRITMAN MEDICAL CENTER INC
500 8TH AVE, SUITE 205
LEWISTON, ID 835012691
2087922251
GRITMAN MEDICAL CENTER INC
623 S MAIN ST, SUITE 1
MOSCOW, ID 838432983
2088822011
Source: CMS National Downloadable File, September 2026.