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Brian E Granvall, PA-C
Diagnostic Radiology Physician in Boise, Idaho
NPI 1205809852

Brian E Granvall is a Diagnostic Radiology Physician based in Corvallis, ID and is specialized in Diagnostic Radiology. Brian E Granvall practices in Boise, ID and has the professional credentials of PA-C. The NPI Number for Brian E Granvall is 1205809852 and holds a License No. 0110002940 (Idaho).

The current practice location address for Brian E Granvall is 190 E Bannock St, Boise, ID and can be reached out via phone at 208-381-2094 and via fax at 208-381-1791.

Location: 190 E Bannock St, Boise, ID, 97339-1108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205809852
Provider Name
Brian E Granvall
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
190 E Bannock St, Boise, ID, 97339-1108
Phone Number
208-381-2094
Fax Number
208-381-1791
Provider Enumeration Date
02/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8326142 05 WA
institution
Provider Business Practice Location Address Details
Address
190 E Bannock St
City
Boise
State
Idaho
Zip
83712-6241
Phone Number
208-381-2094
Fax Number
208-381-1791
person
Provider Business Mailing Address Details
Address
190 E Bannock St
City
Boise
State
Idaho
Zip
83712-6241
Phone Number
208-381-2094
Fax Number
208-381-1791
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
PA 00846 (Oregon)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA10004399 (Washington)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
0110002940 (Virginia)
Definition
Definition to come...
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