| NPI | 1235680703 |
|---|---|
| Doing Business As | GRITMAN INTERNAL MEDICINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | PATRICK MCCONNELL Interm CFO 208-883-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID 39) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-24 |