DANIEL LEE GRANGE

BOISE, ID
NPI1710977509
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: ID  O-0492)
Enumeration Date2005-10-24
Last Update Date2023-10-02
Business Address
DR. DANIEL LEE GRANGE D.O.
1055 N CURTIS RD
BOISE, ID 83706-1309
Phone number: 208-367-6416
Mailing Address
DR. DANIEL LEE GRANGE D.O.
PO BOX 7411114
CHICAGO, IL 60674-1114
Phone number: 208-367-5170
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