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Michael J Ryan, MD
General Practice Physician in Boise, Idaho
NPI 1821039025

Michael J Ryan is a General Practice Physician based in Boise, ID. Michael J Ryan practices in Boise, ID and has the professional credentials of MD. The NPI Number for Michael J Ryan is 1821039025 and holds a License No. M5502 (Idaho).

The current practice location address for Michael J Ryan is 232 S Whisperwood Way, Boise, ID and can be reached out via phone at 208-350-6450.

Location: 232 S Whisperwood Way, Boise, ID, 83707-4649
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821039025
Provider Name
Michael J Ryan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
232 S Whisperwood Way, Boise, ID, 83707-4649
Phone Number
208-350-6450
Fax Number
Provider Enumeration Date
06/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003908900 05 ID
institution
Provider Business Practice Location Address Details
Address
232 S Whisperwood Way
City
Boise
State
Idaho
Zip
83709-4900
Phone Number
208-350-6450
Fax Number
person
Provider Business Mailing Address Details
Address
232 S Whisperwood Way
City
Boise
State
Idaho
Zip
83709-4900
Phone Number
208-350-6450
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
M5502 (Idaho)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
M5502 (Idaho)
Definition
Definition to come...
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