NPI 1467733220 · live from the CMS NPI Registry
Raymond William Grams, D.O.
Psychiatry & Neurology, Vascular Neurology in Boise, ID. National Provider Identifier 1467733220, active.
NPI record
| NPI | 1467733220 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Vascular Neurology 2084V0102X |
| Practice location | 190 E Bannock St, Boise, ID 83712 |
| Practice phone | 208-706-5000 |
| Enumerated | September 6, 2011 |
| Last updated | August 12, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology | 2084N0400X | O-1158 (ID) |
| Psychiatry & Neurology, Neurology | 2084N0400X | 9360238-1204 (UT) |
| Psychiatry & Neurology, Neurology | 2084N0400X | R1938 (AZ) |
| Psychiatry & Neurology, Vascular Neurology primary | 2084V0102X | O-1158 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.