Dr BRIAN E GRANVALL PA is a male medical professional, specializing in Physician Assistant. He graduated in 2002.
BOISE RADIOLOGY GROUP PLLC
895 N 6TH ST E
MOUNTAIN HOME
ID
836472207
Tel: 2083812094
Npi | 1205809852 |
Pac Id | 0941282461 |
Professional Enrollment Id | I20130426000241 |
Last Name | GRANVALL |
First Name | BRIAN |
Middle Name | E |
Suffix | |
Gender | M |
Credential | PA |
Medical School Name | OTHER |
Graduation Year | 2002 |
Primary Specialty | PHYSICIAN ASSISTANT |
Secondary Specialty 1 | |
Secondary Specialty 2 | |
Secondary Specialty 3 | |
Secondary Specialty 4 | |
All Secondary Specialties | |
Organization Legal Name | BOISE RADIOLOGY GROUP PLLC |
Group Practice Pac Id | 9638153257 |
Number Of Group Practice Members | 41 |
Line 1 Street Address | 895 N 6TH ST E |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | MOUNTAIN HOME |
State | ID |
Zip Code | 836472207 |
Phone Number | 2083812094 |
Hospital Affiliation Ccn 1 | 130006 |
Hospital Affiliation Lbn 1 | ST LUKE'S REGIONAL MEDICAL CENTER |
Hospital Affiliation Ccn 2 | 130071 |
Hospital Affiliation Lbn 2 | ST LUKE'S NAMPA MEDICAL CENTER |
Hospital Affiliation Ccn 3 | 131311 |
Hospital Affiliation Lbn 3 | ST LUKE'S ELMORE MEDICAL CENTER |
Hospital Affiliation Ccn 4 | |
Hospital Affiliation Lbn 4 | |
Hospital Affiliation Ccn 5 | |
Hospital Affiliation Lbn 5 | |
Professional Accepts Medicare Assignment | Y |
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