| NPI | 1013556596 |
|---|---|
| Doing Business As | GRITMAN INTERVENTIONAL PAIN MANAGEMENT CLINIC |
| Entity Type | Organization |
| Authorized Contact | DANIELLE LYNAS CFO 208-883-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2019-12-31 |