Individual
M. RYAN PARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 706-5651
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8748
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1402
ID
Other
Enumeration date
09/29/2016
Last updated
03/14/2022
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