BRIAN GRANVALL, PA-C

Radiology - Diagnostic Radiology

Active Individual
NPI: 1205809852

Practice Address

190 E BANNOCK ST
Boise, ID 83712

Phone: (208) 381-2094

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X No PA 00846 (OR)
Physician Assistant - Surgical 363AS0400X No C04233 (MD)
Radiology - Diagnostic Radiology 2085R0202X Yes PA-1042 (ID)

Frequently Asked Questions

NPI 1205809852 is the National Provider Identifier for BRIAN GRANVALL, PA-C, a Radiology - Diagnostic Radiology provider located in Boise, ID. This NPI was enumerated on February 13, 2006.
BRIAN GRANVALL, PA-C practices at 190 E BANNOCK ST, Boise, ID 83712.

Quick Facts

NPI
1205809852
Type
Individual
Enumerated
Feb 13, 2006
Last Updated
Jan 31, 2022

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