Debbie L Grissom is a Obstetrics in Boise, Idaho. Debbie L Grissom practices all healthcare services and medical treatments related to Obstetrics. The NPI Number for Debbie L Grissom is 1831156629. The last update date is 2013-10-30.
Debbie L Grissom's current location address is 190 E Bannock St, Boise, Idaho. You can contact this provider via phone number 2083437501 and fax number 2083368248. The mailing address for Debbie L Grissom is 190 E Bannock St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Debbie L Grissom |
|---|---|
| Address | 190 E Bannock St, Boise, Idaho |
| Phone Number | 2083437501 |
| Fax Number | 2083368248 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1831156629 |
|---|---|
| Provider Enumeration Date | 2006-04-27 |
| Last Updated Date | 2013-10-30 |
Provider Mailing Address Detail
| Address | 190 E Bannock St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837126241 |
| Phone Number | 2083437501 |
| Fax Number | 2083368248 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics |
|---|---|
| Taxonomy | 207Vx0000X |
| Licence No | M9540 |
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Definition: A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. |
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What is the Debbie L Grissom's unique identification number?
The Debbie L Grissom has been assigned the NPI (National Provider Identifier) Number 1831156629 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Debbie L Grissom?
The Debbie L Grissom is situated at 190 E Bannock St, in the city of Boise, state of ID, with the zip code 837126241.
What is Debbie L Grissom's specialized field of practice, and what is the corresponding taxonomy classification code?
The Debbie L Grissom's area of specialization is Obstetrics, and the corresponding taxonomy code that categorizes this field of practice is 207Vx0000X.
On what date did Debbie L Grissom receive its 1831156629 assignment from the Centers for Medicare & Medicaid Services?
The Debbie L Grissom was assigned its 1831156629 on 2006-04-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Debbie L Grissom most recently updated or revised?
The details related to Debbie L Grissom, including its address, specialty, and other relevant information, were last updated or revised on 2013-10-30.