Individual
RYAN LEE NEIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1543 POLE LINE RD E, TWIN FALLS, ID 83301-3590
(208) 733-3340
Mailing address
1543 POLE LINE RD E, TWIN FALLS, ID 83301-3590
(208) 733-3340
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HT - 2350
ID
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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