MEDICARE: DR. DANIEL LEE GRANGE D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	O-0492	ID

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00448262	OTHER	MN	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710977509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL LEE GRANGE D.O.

Provider Business Mailing Address
First Line	:	PO BOX 7411114
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60674-1114
Country	:	US
Telephone Number	:	208-367-5170
Fax Number	:	208-367-5180

Provider Business Practice Location Address
First Line	:	1055 N CURTIS RD
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83706-1309
Country	:	US
Telephone Number	:	208-367-6416
Fax Number	:	208-367-2742

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2005
Last Update Date	:	10/02/2023

Similar Medicare Providers

1619018470 — KIMBERLY LYNN JUDD MD
Practice Location Address:

1055 N CURTIS RD
BOISE, ID
83706-1309

Practice Phone: 208-302-4600
Practice Fax: 208-302-4655

1588807838 — KATHERINE RENEE BUHIKIRE APRN
Practice Location Address:

1055 N CURTIS RD
BOISE, ID
83706-1309

Practice Phone: 208-205-1000
Practice Fax:

1841296902 — DR. KATHERINE A MATHEWS M.D.
Practice Location Address:

1055 N. CURTIS RD
BOISE, ID
83706-1309

Practice Phone: 208-367-7350
Practice Fax: 208-367-3951

1235122284 — MR. CHRISTOPHER JAY SJOBERG NP
Practice Location Address:

1055 N CURTIS RD
BOISE, ID
83706-1309

Practice Phone: 208-367-3069
Practice Fax: 208-367-3002

1700879459 — MR. CORY J HUFFINE N.P.
Practice Location Address:

1055 N CURTIS ROAD , S6
BOISE, ID
83706-1309

Practice Phone: 208-367-6048
Practice Fax: 208-367-6022

1477537280 — DR. KERRI DIANNE TRAINER DO
Practice Location Address:

1055 N CURTIS RD
BOISE, ID
83706-1309

Practice Phone: 208-367-5170
Practice Fax: 208-367-5180

Directions to “ DR. DANIEL LEE GRANGE D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.