NPI 1821039025

Michael J Ryan, MD

Practitioner General Practice Physician Boise, ID

Practice location

Address: 232 S Whisperwood Way, Boise, ID 83709-4900
Phone: (208) 350-6450
Mailing address: PO Box 9649, Boise, ID 83707-4649

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence M5502 (ID)

Other General Practice providers in Idaho →

Diagnostic Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence M5502 (ID)

Other Radiology providers in Idaho →

Registry record

NPI: 1821039025
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jun 2006
Record last updated: 12 Mar 2014

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.