SCOTT A GRAVIET

BOISE, ID
NPI1578514618
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213E00000X Podiatrist
(Licence: ID  P154)
Enumeration Date2006-05-13
Last Update Date2014-02-03
Business Address
-- SCOTT A GRAVIET DPM
6051 N EAGLE RD
BOISE, ID 83713-0997
Phone number: 208-938-4670
Mailing Address
-- SCOTT A GRAVIET DPM
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222