Search › Idaho › 2084V0102X
Raymond Grams, D.O
NPI 1467733220 · on the registry since 2011 · sole proprietor
Practice
- Address
- 190 E Bannock St
Boise, ID 83712 - Phone
- (208) 706-5000
- Organisation at this address
- St. Lukes
Picu Associates, Llc
St. Luke'S Children'S
St. Luke'S Health System
Boise Pathology Group P.A.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 695
Additional practice sites
- 652 S Medical Center Dr Ste 420, St George, UT
Registry record
- Primary taxonomy
- 2084V0102X
2084V0102X
- Also registered as
- 2084N0400X
2084N0400X
2084N0400X - Licence states on file
- ID, UT, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-08-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho