Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN E GRANVALL, PA-C
ActiveBRIAN E GRANVALL, PA-C is a Diagnostic Radiology healthcare provider located in BOISE, Idaho. NPI 1205809852 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · BOISE, ID
Registration Details
- NPI Number
- 1205809852
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 13, 2006 (20.460877560663 yrs)
- Last Updated
- Jan 31, 2022
- Licenses
-
0110002940 (VA)PA10004399 (WA)PA 00846 (OR)C04233 (MD)PA-1042 (ID)
Practice Information
- Address
-
190 E BANNOCK STBOISE, ID, 837126241Browse ID providers · Browse ZIP 83712
- Phone
- 2083812094
- Fax
- 2083811791
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Diagnostic Radiology
Other Diagnostic Radiology Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. ADAM S MAXFIELD | M.D. | 1295705002 |
| DR. RYAN SLAUGHTER | M.D. | 1922077635 |
| DR. MATTHEW POND | M.D. | 1184682551 |
| MRS. JANET M CEGNAR | MD | 1306895016 |
| CODY J. BOYCE | M.D. | 1508816471 |
| DANIEL J WEGNER | M.D. | 1275584997 |
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.