Individual
RYAN MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2065 E 17TH ST STE A, IDAHO FALLS, ID 83404-8042
(800) 640-3451
Mailing address
PO BOX 1200, PLEASANT GROVE, UT 84062-1200
(800) 640-3451
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F05210086
ID
Other
Enumeration date
05/05/2021
Last updated
09/13/2024
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