Individual
DR. DEREK RYAN MCDOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 814-4100
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
O-1491
ID
Other
Enumeration date
04/02/2018
Last updated
11/23/2021
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