NPI | 1790182590 |
---|---|
Doing Business As | GRITMAN INTERNAL MEDICINE CLINIC |
Entity Type | Organization |
Authorized Contact | PRESTON J BECKER CFO 208-883-2221 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: ID 39) |
Enumeration Date | 2014-11-24 |
Last Update Date | 2015-12-04 |