Organization · Type 2 NPI
Mountain State Family Medicine, PC
Primary Care Clinic/Center · Grangeville, ID
NPI number
1710917612
Active
Practice location
610 NW 2nd St
Grangeville, ID 83530-1244
Fax (208) 983-5404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
Other primary care clinic/center providers in Grangeville
About NPI 1710917612
Mountain State Family Medicine, PC's National Provider Identifier is 1710917612, issued on Jul 4, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Grangeville, ID. The record was last updated on Aug 22, 2020.