Individual
MR. RYAN CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1648 NW 1ST ST, MERIDIAN, ID 83642-2212
(208) 888-9393
(208) 888-9525
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 985-1423
(208) 955-6501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
04/24/2024
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