Graduated: 2021
NPI: 1801484613
Practice Locations (2)
GRITMAN MEDICAL CENTER INC
2500 W A ST, SUITE 101
MOSCOW, ID 838436000
2088820540
GRITMAN MEDICAL CENTER INC
623 S MAIN ST, SUITE 1
MOSCOW, ID 838432983
2088822011
Source: CMS National Downloadable File, September 2026.