Organization · Type 2 NPI

Gritman Medical Center Inc

Interventional Pain Medicine Physician · Moscow, ID

NPI number 1013556596 Active

Practice location

803 S Main St Ste 310
Moscow, ID 83843-3574

Mailing address

PO Box 8007
Moscow, ID 83843-0507

Specialties and licenses

TaxonomyCodeLicense
Interventional Pain Medicine Physician Primary 208VP0014XNone listed

Interventional Pain Medicine Physician: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

About NPI 1013556596

Gritman Medical Center Inc's National Provider Identifier is 1013556596, issued on Dec 31, 2019. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in Moscow, ID. The record was last updated on Sep 14, 2026.