NPI 1023656782

Ryan Atwood, PAC

Practitioner Physician Assistant Emmett, ID

Practice location

Address: 207 E 12th St, Emmett, ID 83617-3626
Phone: (208) 365-1065
Fax: (208) 365-1068
Mailing address: 1441 NE 10th Ave, Payette, ID 83661-5420

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA1824 (ID)

Other Physician Assistant providers in Idaho →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA207 (OR)

Registry record

NPI: 1023656782
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Dec 2019
Record last updated: 13 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.