Organization · Type 2 NPI

Grande Ronde Hospital, Inc

Cardiovascular Disease Physician · Boise, ID

NPI number 1497807812 Active

Practice location

300 E Jefferson St Ste 101
Boise, ID 83712-6221

Call (208) 336-4141 Map

Fax (208) 336-4035

Mailing address

PO Box 3290
La Grande, OR 97850-7290

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000X14-0728 (OR)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

7 other providers at this address

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About NPI 1497807812

Grande Ronde Hospital, Inc's National Provider Identifier is 1497807812, issued on Jan 17, 2007. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Boise, ID. The record was last updated on Apr 7, 2011.