Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LANDON KELLY GRANGE, M.D.
ActiveOphthalmology · BOISE, ID
Registration Details
- NPI Number
- 1043620255
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 28, 2014 (11.999435041895 yrs)
- Last Updated
- Jul 26, 2018
- License
-
M14219 (ID)
Practice Information
- Address
-
5680 W GAGE STBOISE, ID, 83706Browse ID providers · Browse ZIP 83706
- Phone
- 2087733937
- Fax
- 2083773937
- Primary Specialty
-
Ophthalmology
207W00000X
Other Ophthalmology Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. MARK J BOERNER | M.D. | 1003819459 |
| MARK E HOLLINGSHEAD | M.D. | 1689670911 |
| JOHN R SONNTAG | M.D. | 1245223809 |
| DENTON R ROBERTS | MD | 1699742395 |
| ADAM C REYNOLDS | M.D. | 1417916586 |
| DR. SCOTT ALAN LARSON | MD | 1992757991 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.