Brian E. Granvall, PA-C
Diagnostic Radiology · Boise, ID
UnclaimedPA-CNPI 1205809852
- Primary taxonomy
- 2085R0202X
- Enumerated
- 2006-02-13
- Practice location
- Boise, ID
- Last NPPES update
- 2022-01-31
State licenses
- ID · Physician · NPPES self-reportedListed on NPI record
- MD · Physician · NPPES self-reportedListed on NPI record
- OR · Physician · NPPES self-reportedListed on NPI record
- VA · Physician · NPPES self-reportedListed on NPI record
- WA · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.