| 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 (Licence: ID 39) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2015-12-04 |