| NPI | 1134708159 |
|---|---|
| Doing Business As | GRITMAN GENERAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | DANIELLE LYNAS CFO 208-883-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2021-05-05 |