Individual
GLENN DAVID RYCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
623 S MAIN ST, MOSCOW, ID 83843-2983
(208) 882-2011
(208) 883-1853
Mailing address
623 S MAIN ST, MOSCOW, ID 83843-2983
(208) 882-2011
(208) 883-1853
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M4592
ID
Other
Enumeration date
02/13/2006
Last updated
10/04/2007
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