Theodore Gross
Theodore Gross is a Student in an Organized Health Care Education/Training Program in Fruitland, Idaho. Licensed in Idaho. Registered with an NPI since 2017.
- Licensed in
- ID
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
1100 NW 12th StFruitland, ID 83619-5040
Phone: (208) 452-6556
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Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence M-15894 (ID) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1922531508 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 10, 2017 |
| Last updated in NPPES | August 5, 2025 |
| Certification date | August 5, 2025 |
| Mailing address | 1100 Nw 12th St, Fruitland, ID 83619-5040 |
Other providers in Fruitland
-
Brandon Scott Denney, MD
910 NW 16th St Ste 205, Fruitland, ID 83619-2265 · (208) 452-8100
-
Chelsie M Lewis, FNP
1100 NW 12th St, Fruitland, ID 83619-5040 · (208) 452-6556
-
Adrieanna Joye Lynch, DO
1210 NW 16th St, Fruitland, ID 83619-2202 · (208) 452-8700