Search › Idaho › 367500000X
Dustin Gill
NPI 1558681502 · on the registry since 2010
Practice
- Address
- 804 S Washington St Ste A
Moscow, ID 83843 - Phone
- (208) 883-6700
- Organisation at this address
- Gritman Medical Center Inc
Gritman Medical Center Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 803 S Main St Ste 310, Moscow, ID
- 803 S Main St Ste 310b, Moscow, ID
- 700 S Main St, Moscow, ID
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-15
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